JONATHAN NATHANIEL BRANTLEY

RICHMOND, VA
NPI1346299773
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy213E00000X Podiatrist
(Licence: VA  0103000902)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
DR. JONATHAN NATHANIEL BRANTLEY D.P.M.
1201 BROAD ROCK BLVD SURGICAL SERVICE (112H)
RICHMOND, VA 23249-0001
Phone number: 804-675-5112
Mailing Address
DR. JONATHAN NATHANIEL BRANTLEY D.P.M.
1201 BROAD ROCK BLVD SURGICAL SERVICE (112H)
RICHMOND, VA 23249-0001
Phone number: 804-675-5112