Individual
JANE A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 1551, TUBA CITY, AZ 86045-1551
(520) 979-2619
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
146979
AZ
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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