Individual
DAVID BARRY JENNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1775 EYE ST NW, SUITE 1150, WASHINGTON, DC 20006-2402
(202) 870-3910
Mailing address
1509 SLEEPY LAKE PKWY, SUFFOLK, VA 23433-1207
(757) 238-9632
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/02/2006
Last updated
11/18/2015
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