Individual
DOMINIQUE L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3323 PUMPHREY DR, DISTRICT HEIGHTS, MD 20747-4308
(202) 848-0801
Mailing address
3323 PUMPHREY DR, DISTRICT HEIGHTS, MD 20747-4308
(202) 848-0801
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
20284
MD
3747P1801X
Personal Care Attendant
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20284
—
MD
Enumeration date
07/19/2019
Last updated
07/19/2019
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