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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN BACA

Active Sole Proprietor

JORDAN BACA is a Independent Duty Corpsman healthcare provider located in SAN MARCOS, California. NPI 1184442840 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · SAN MARCOS, CA

Registration Details

NPI Number
1184442840
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2024 (1.8578269817925 yrs)
Last Updated
Oct 1, 2024
Sole Proprietor
Yes

Practice Information

Address
146 N TWIN OAKS VALLEY RD UNIT 103
SAN MARCOS, CA, 920693413
Browse CA providers · Browse ZIP 92069
Phone
7025619263
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in SAN MARCOS, CA

Name Credential NPI
MR. MATTHEW FRANCIS RITCHIE 1386197291
JOHN VINCENT HAMLIN IDC 1326756636
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.