Individual
JONATHAN BROADNAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4702 6TH PL NE, WASHINGTON, DC 20017-2319
(202) 365-3997
Mailing address
4702 6TH PL NE, WASHINGTON, DC 20017-2319
(202) 365-3997
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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