Individual
DR. JARED PAUL QUESENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1332 LOWRY ST, SUITE A, BEDFORD, VA 24523
(540) 586-9575
(540) 586-0129
Mailing address
1332 LOWRY ST, SUITE A, BEDFORD, VA 24523
(540) 586-9575
(540) 586-0129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145291
—
VA
Enumeration date
06/13/2012
Last updated
05/15/2020
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