JORDAN TOLES

Peer Specialist

Active Individual
NPI: 1760959407

Practice Address

790 RIDGE RD
Lackawanna, NY 14218

Phone: (716) 248-4371

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1760959407 is the National Provider Identifier for JORDAN TOLES, a Peer Specialist provider located in Lackawanna, NY. This NPI was enumerated on October 31, 2018.
JORDAN TOLES practices at 790 RIDGE RD, Lackawanna, NY 14218.

Quick Facts

NPI
1760959407
Type
Individual
Enumerated
Oct 31, 2018
Last Updated
Oct 31, 2018

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