Jordan Wanberg
Jordan Wanberg is a Foster Care Agency in Brigham City, Utah. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
862 S Main St Ste 4Brigham City, UT 84302-3389
Phone: (435) 753-6245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foster Care Agency (primary) | Taxonomy 253J00000X |
|---|
Record details
| NPI number | 1578981502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2014 |
| Last updated in NPPES | April 7, 2014 |
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