Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARIO JAQUAN EASTER
Active Sole ProprietorMR. MARIO JAQUAN EASTER is a Bus healthcare provider located in BRODNAX, Virginia. NPI 1821632886 is currently active in the NPPES registry. Verify at CMS.
Bus · BRODNAX, VA
Registration Details
- NPI Number
- 1821632886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2019 (6.7610319319363 yrs)
- Last Updated
- Nov 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
5644 BOYDTON PLANK RDBRODNAX, VA, 239202156Browse VA providers · Browse ZIP 23920
- Phone
- 4345325673
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in BRODNAX, VA
| Name | Credential | NPI |
|---|---|---|
| SHELANDICE RAINEY | — | 1023517430 |
| MR. ANTHONY L COLEMAN | — | 1104387323 |
| FLORRIE MEREDITH | — | 1366002115 |
| MICHAEL DAMONTA TAYLOR | — | 1619587599 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.