Individual
MR. JONATHAN LEONARD GLADYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116720
WV
Other
Enumeration date
03/31/2022
Last updated
07/26/2023
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