Individual
JONATHAN WESTERVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2790 GODWIN BLVD STE 355, SUFFOLK, VA 23434-8173
(757) 635-0784
Mailing address
7908 SPRING GARDEN RD, PARMA, OH 44129-3634
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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