Individual
REGINALD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 LAKELAND DR APT 21G, FLOWOOD, MS 39232-9731
(601) 665-6806
Mailing address
4701 LAKELAND DR APT 21G, FLOWOOD, MS 39232-9731
(601) 665-6806
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
800879553
MS
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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