Individual
KYDAE LAMAR JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 SAN PEDRO DR NE STE B6, ALBUQUERQUE, NM 87110-4119
(505) 934-4992
Mailing address
2301 SAN PEDRO DR NE STE B6, ALBUQUERQUE, NM 87110-4119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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