JASON DEDEKER

PORTSMOUTH, VA
NPI1003272485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-01-14
Last Update Date2016-01-14
Business Address
-- JASON DEDEKER
620 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-5257
Mailing Address
-- JASON DEDEKER
3849 WILHOIT RD
APISON, TN 37302-9783
Phone number: