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Individual

CHARLES B JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.

Contact information

Practice address
2268 LONG BEACH BLVD, LONG BEACH, CA 90806-4417
(562) 426-5531
(562) 426-6773
Mailing address
2268 LONG BEACH BLVD, LONG BEACH, CA 90806-4417
(562) 426-5531
(562) 426-6773

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary
225000000X
Orthotic Fitter

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XB0014030
CA
Enumeration date
08/24/2007
Last updated
03/06/2013
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