Individual
MRS. DIANNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1525 E MOORE ST, DECATUR, IL 62521-2942
(217) 775-2347
Mailing address
1525 E MOORE ST, DECATUR, IL 62521-2942
(217) 775-2347
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IL
Other
Enumeration date
09/24/2020
Last updated
01/29/2021
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