Most Relevant Information
Provider Data
| NPI Number: | 1003315631 |
| Provider Name: | JORDAN YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2018 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
309 E 2ND ST
POMONA
CA
917661854
Practice Location Phone/Fax
| Phone: | 9094695589 |
| Fax: |
Provider Mailing Location
309 E 2ND ST
POMONA
CA
917661854
Provider Mailing Phone/Fax
| Phone: | 5084695589 |
| Fax: |