Individual
JONATHAN E HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 520-2801
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 520-2801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78433
WV
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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