Individual
JONATHAN E ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 SEVEN MILE FORD RD, MARION, VA 24354
(276) 759-6124
Mailing address
242 SEVEN MILE FORD RD, MARION, VA 24354-6153
(276) 759-6124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06-11-01-0049
VA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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