Individual
JACOB FELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(757) 705-6021
Mailing address
2915 W STONY HILL CT APT 3B, RICHMOND, VA 23235-6857
(757) 705-6021
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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