Individual
DR. JASON GEBRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
515 BROAD ST, PERRYVILLE, MD 21903-2734
(410) 642-2411
Mailing address
6621 HIDDENITE CT, ALEXANDRIA, VA 22310-2419
(703) 401-9971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002767
VA
Other
Enumeration date
06/27/2019
Last updated
06/02/2020
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