Individual
JASON ROBERT SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2704 KENSINGTON AVE, APT. 2, RICHMOND, VA 23220-3351
(804) 690-5209
Mailing address
2704 KENSINGTON AVE, APT. 2, RICHMOND, VA 23220-3351
(804) 690-5209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001212010
VA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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