Individual
CHARLOTTE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15519 114TH RD, APT 3-G, JAMAICA, NY 11434-1003
(718) 344-0867
Mailing address
15519 114TH RD, APT 3-G, JAMAICA, NY 11434-1003
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252821
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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