Individual
JACQUELINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1379 KALAUIKU WAY, WAHIAWA, HI 96786-7047
(719) 685-6739
Mailing address
1379 KALAUIKU WAY, WAHIAWA, HI 96786-7047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19347
HI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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