Individual
TENIKA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIRLOSS SPECIALIST
Contact information
Practice address
2338 BELDEN ST, ROCKFORD, IL 61101-3234
(815) 505-3239
Mailing address
2338 BELDEN ST, ROCKFORD, IL 61101-3234
(815) 505-3239
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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