JASON EDWARD FENDER

SALEM, VA
NPI1114957230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001026)
Enumeration Date2006-07-04
Last Update Date2011-11-28
Business Address
Mr. JASON EDWARD FENDER PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Mailing Address
Mr. JASON EDWARD FENDER PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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