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Santino Jordan

Day Training/Habilitation Specialist in Anchorage, AK. Individual provider (NPI-1).

NPI number1104606995
StatusActive
Last updated in NPPESSep 29, 2023

Details

NPI
1104606995
Entity type
Individual (NPI-1)
Name
Santino Jordan
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2023
Certification date
Sep 29, 2023
Last updated
Sep 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

1550 E 74th Ave
Anchorage, AK 99507-2614

Phone 907-929-5826

Mailing address

1550 E 74th Ave
Anchorage, AK 99507-2614

Phone 907-929-5826

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