Individual
JONATHAN LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1293 FLAG RUN RD, CLARKSBURG, WV 26301-6686
(304) 917-8096
Mailing address
1293 FLAG RUN RD, CLARKSBURG, WV 26301-6686
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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