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Jordan Thomas Adams

Technician, Personal Care Attendant in Martinsburg, WV. Individual provider (NPI-1).

NPI number1750178620
StatusActive
Last updated in NPPESApr 23, 2025

Details

NPI
1750178620
Entity type
Individual (NPI-1)
Name
Jordan Thomas Adams
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2025
Certification date
Apr 23, 2025
Last updated
Apr 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

75 Ours Dr
Martinsburg, WV 25405-1416

Phone 740-562-7643

Mailing address

75 Ours Dr
Martinsburg, WV 25405-1416

Phone 740-562-7643

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