Individual
ANTONIO JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 KINGS RD APT 6105, DALLAS, TX 75219-6156
(404) 707-8721
Mailing address
2929 KINGS RD APT 6105, DALLAS, TX 75219-6156
(404) 707-8721
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MT012150
GA
225700000X
Massage Therapist
Primary
MT137693
TX
225700000X
Massage Therapist
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Other
Enumeration date
09/02/2020
Last updated
07/10/2023
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