Individual
JASON HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20927 GARDENGATE CIR, ASHBURN, VA 20147-4019
(412) 295-3531
Mailing address
20927 GARDENGATE CIR, ASHBURN, VA 20147-4019
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001286228
VA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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