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Search › Virginia › 183500000X

Jared Street

NPI 1306598651 · on the registry since 2022

Practice

Address
110 W Main St Ste 1
Lebanon, VA 24266
Phone
(276) 889-1919
Organisation at this address
Street Drug Corporation
Pulmonary Associates Of Kingsport
Choice Respiratory & Medical Equipment, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia