Jonathan Brent Orth

NPI #1669008157 in Watson, Illinois

Provider Information

NPI Number: 1669008157
Entity Type: Individual
Name: Jonathan Brent Orth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Mar 17, 2020
Last Updated: Mar 17, 2020

Practice Location

Address: 5118 N 1350TH ST
City: Watson
State: Illinois
ZIP Code: 62473-2271
Phone: (404) 783-2146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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