Individual
LINDA S JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 BRIERWOOD ROAD, PETERSBURG, VA 23805-2946
(804) 461-1687
Mailing address
2913 BRIERWOOD ROAD, PETERSBURG, VA 23805-2946
(804) 461-9659
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H527582
VA
347C00000X
Private Vehicle
H527582
VA
Other
Enumeration date
11/09/2019
Last updated
11/26/2019
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