Individual
JAHMAL ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 ELMHURST LN, PORTSMOUTH, VA 23701-2134
(757) 779-6729
Mailing address
1905 ELMHURST LN, PORTSMOUTH, VA 23701-2134
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
172A00000X
Driver
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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