Jason Michael Vezina SR. LPTA

NPI 1356534036 - Clinic/Center - 261QP2000X

NPI Details
NPI 1356534036
Gender Male
Enumeration Date 08/25/2007
Last Updated 09/05/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
207 F ST NE
WASHINGTON DC, 20002-4928, US
Phone (202) 256-4188
Fax
Business Location
207 N STREET NORTH EAST
WASHINGTON DC, 20002-4928, US
Phone (202) 256-4188
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Virginia
License Number 2306602009
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According to our database, Mr. Jason Michael Vezina SR. LPTA NPI is 1356534036, taxonomy code is 261QP2000X and license number is 2306602009, license state is located at Virginia. Jason Michael Vezina SR. LPTA physically located at 207 F St Ne, Washington DC, 20002-4928. NPI Number Jason Michael Vezina SR. LPTA has the Individual type.

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1356534036 NPI number is provided on an as is basis without warranty of any kind. 1356534036 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Michael Vezina SR. LPTA are for informational purposes only.