Individual
JONATHAN INDELICATO JOIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2807 CENTRAL AVE, ALEXANDRIA, VA 22302-2402
(571) 384-9656
Mailing address
2807 CENTRAL AVE, ALEXANDRIA, VA 22302-2402
(571) 384-9656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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