Individual
MR. JOHNATHAN CHARLES JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10327 W BROAD ST, GLEN ALLEN, VA 23060-6716
(804) 754-3600
(804) 754-1411
Mailing address
10327 W BROAD ST, GLEN ALLEN, VA 23060-6716
(804) 754-3600
(804) 754-1411
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101001628
VA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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