Individual
LISA A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N EL MIRAGE DR APT 4712, AVONDALE, AZ 85392-4067
(800) 487-2422
Mailing address
3800 N EL MIRAGE DR APT 4712, AVONDALE, AZ 85392-4067
(800) 487-2422
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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