Individual
STEFANI JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 PARKWAY, CERES, CA 95307-2008
(209) 404-1420
Mailing address
2602 PARKWAY, CERES, CA 95307-2008
(209) 404-1420
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN175230
CA
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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