Provider Demographics
NPI:1962089185
Name:MARTINEZ JORDAN, JARDI ARALEXI
Entity type:Individual
Prefix:
First Name:JARDI
Middle Name:ARALEXI
Last Name:MARTINEZ JORDAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6726 182ND ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4251
Mailing Address - Country:US
Mailing Address - Phone:206-902-8662
Mailing Address - Fax:425-640-9248
Practice Address - Street 1:6726 182ND ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4251
Practice Address - Country:US
Practice Address - Phone:206-902-8662
Practice Address - Fax:425-640-9248
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter