Jordan Samuel
Jordan Samuel is a Student in an Organized Health Care Education/Training Program in Colton, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2291 Lalique CirColton, CA 92324-9242
Phone: (901) 734-3464
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1366325649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2025 |
| Last updated in NPPES | July 26, 2025 |
| Certification date | July 25, 2025 |
| Mailing address | 2291 Lalique Cir, Colton, CA 92324-9242 |
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