Individual
TIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
648 SW AMBERWOOD LOOP APT 104, LAKE CITY, FL 32025
(386) 688-3277
Mailing address
648 SW AMBERWOOD LOOP APT 104, LAKE CITY, FL 32025
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
02/12/2014
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