NPI 1144788126

Raphael Sherrod Jordan

Practitioner Transportation Broker Milwaukee, WI

Practice location

Address: 4051 N 88th St, Milwaukee, WI 53222-1714
Phone: (414) 334-6058

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X

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Registry record

NPI: 1144788126
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2019
Record last updated: 8 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.