Individual
MR. JOSE MARTIN JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
137 POINTER LN, GORDONSVILLE, VA 22942-6864
(434) 984-2547
Mailing address
137 POINTER LN, GORDONSVILLE, VA 22942-6864
(434) 984-2547
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
0117003597
VA
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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