Individual
JONATHAN RUSS WEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 WAPLES MILL RD, FAIRFAX, VA 22030-7407
(703) 237-2219
Mailing address
4010 INGRAHAM ST, HYATTSVILLE, MD 20781-1857
(301) 291-1221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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