Individual
AMANDA BROOK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 3RD ST, RAWLINS, WY 82301-5612
(307) 324-8494
Mailing address
1335 N GARFIELD AVE, POCATELLO, ID 83204-2629
(435) 932-1002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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