Individual
JONATHAN KAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
1855 HELICOPTER ROAD, VIRGINIA BEACH, VA 23459
(323) 573-4795
Mailing address
1855 HELICOPTER ROAD, VIRGINIA BEACH, VA 23459
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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