Individual
ROSE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(206) 962-3535
Mailing address
425 E NORMA LEE AVE, MEDICAL LAKE, WA 99022-8848
(612) 419-5426
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60593111
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2014
Last updated
10/29/2019
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