Individual
MR. CODY DANIEL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUBMARINE IDC
Contact information
Practice address
112 ELDER AVE, RIVERSIDE, RI 02915-3756
(774) 488-4407
Mailing address
112 ELDER AVE, RIVERSIDE, RI 02915-3756
(774) 488-4407
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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