Jordan Isiah Anthony Wilborn
Jordan Isiah Anthony Wilborn is a Licensed Psychiatric Technician in Orange, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
265 S Anita Dr Ste 201Orange, CA 92868-3346
Phone: (714) 410-3500
Fax: (714) 470-3527
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 42594 (CA) |
|---|
Record details
| NPI number | 1942974050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | July 23, 2024 |
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