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Jordan Wallace
NPI 1689449787 · on the registry since 2023 · sole proprietor
Practice
- Address
- 69155 Dinah Shore Dr
Cathedral City, CA 92234 - Phone
- (760) 969-9383
- Organisation at this address
- B&N Transportation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2023-11-17
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 California