JARED WATERS

ROANOKE, VA
NPI1023701927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110009479)
Enumeration Date2023-05-29
Last Update Date2023-08-17
Business Address
JARED WATERS
5673 AIRPORT RD
ROANOKE, VA 24012-1119
Phone number: 540-523-8080
Mailing Address
JARED WATERS
3111 GRAYLAND AVE
RICHMOND, VA 23221-3527
Phone number: