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NPI Code Detail

MEDICARE: MRS. JORDAN RICE FOLDES M.S. CCC-SLP

MEDICARE:  MRS. JORDAN RICE FOLDES  M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-2636NV

General Provider Information

NPI Number : 1619514486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JORDAN RICE FOLDES M.S. CCC-SLP
Provider Business Mailing Address
First Line : 573 HALLORAN SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4469
Country : US
Telephone Number : 310-422-2049
Fax Number :
Provider Business Practice Location Address
First Line : 573 HALLORAN SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4469
Country : US
Telephone Number : 310-422-2049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2019
Last Update Date : 11/29/2019

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Directions to “ MRS. JORDAN RICE FOLDES M.S. CCC-SLP” Practice Location

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