Individual
JONATHON DANIEL RATKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461-2200
(757) 862-0077
Mailing address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461-2200
(757) 862-0077
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
09/19/2023
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