Individual
DR. JESSICA MARITZA JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-5252
(407) 400-7966
Mailing address
2010 ATHERHOLT RD, UNIT G, LYNCHBURG, VA 24501-1106
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101246117
VA
207RC0000X
Cardiovascular Disease Physician
Primary
ME0094325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659423911
—
VA
Enumeration date
01/17/2007
Last updated
09/30/2015
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