Individual
MR. ASA CLARENCE JENRETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.T., M.B.A.
Contact information
Practice address
5 BLACKBERRY LN, HAMPTON, VA 23669-6003
(757) 722-9961
(757) 728-3187
Mailing address
5 BLACKBERRY LN, HAMPTON, VA 23669-6003
(757) 722-9961
(757) 728-3187
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0117002863
VA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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