Individual
DAISY YONZON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2151 W GRANT LINE RD, TRACY, CA 95377-7309
(209) 832-0535
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A7375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX73750
—
CA
Enumeration date
04/28/2006
Last updated
08/25/2010
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