Individual
DANIELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-3002
(252) 338-2902
Mailing address
106 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 338-3002
(252) 338-2902
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/03/2020
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