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Jonathan Husted

NPI 1972298941 · on the registry since 2023 · sole proprietor

Practice

Address
1527 Grandin Rd Sw
Roanoke, VA 24015
Phone
(540) 342-9525
Organisation at this address
Raleigh Court Operations Llc
Medical Facilities Of America Li
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-06

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