Individual
MAKEDA R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AEF
Contact information
Practice address
2614 W DAHL LN, SANTA ANA, CA 92704-3110
(310) 350-4046
Mailing address
2614 W DAHL LN, SANTA ANA, CA 92704-3110
(310) 350-4046
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1388
CA
225700000X
Massage Therapist
84981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84981
CAMTC
CA
Enumeration date
01/21/2009
Last updated
04/24/2023
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