Individual
MR. DION JAMES JERGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFT, SSN, SET
Contact information
Practice address
523 BRECKINRIDGE SQUARE SE, LEESBURG, VA 20175-8968
(540) 454-1868
Mailing address
523 BRECKINRIDGE SQUARE SE, LEESBURG, VA 20175-8968
(540) 454-1868
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
VA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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