JONATHAN BRENT ORTH

WATSON, IL
NPI1669008157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
JONATHAN BRENT ORTH
5118 N 1350TH ST
WATSON, IL 62473-2271
Phone number: 404-783-2146
Mailing Address
JONATHAN BRENT ORTH
5118 N 1350TH ST
WATSON, IL 62473-2271
Phone number: 404-783-2146