Individual
JONATHAN RUSSELL BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
631 EVANS DR, EASTMAN HEIGHTS, MILFORD, DE 19963-2403
(302) 242-8730
Mailing address
631 EVANS DR, EASTMAN HEIGHTS, MILFORD, DE 19963-2403
(302) 242-8730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0033582
DE
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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