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Jordan Wan, M.T., TAI NA
NPI 1326695495 · on the registry since 2019
Practice
- Address
- 1141 Smith Lane Ste #3
Ste #3
Roseville, OH 95661 - Phone
- (916) 783-3003
- Fax
- (916) 783-4799
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio