Individual
LILLIAN BOOKER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8421 BINK PL, MECHANICSVILLE, VA 23111-1444
(804) 878-0620
Mailing address
8421 BINK PL, MECHANICSVILLE, VA 23111-1444
(804) 878-0620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S5962453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S5962453
STATE CORPORATION COMMISSION
VA
Enumeration date
01/20/2016
Last updated
01/20/2016
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