SearchCalifornia133N00000X

Laqueen Jordon

NPI 1861991390 · on the registry since 2018 · sole proprietor

Practice

Address
1532 Frienza Ave
Sacramento, CA 95815
Phone
(916) 242-5339

Registry record

Primary taxonomy
133N00000X
133N00000X
Also registered as
146D00000X
163WA2000X
175M00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-11

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