Individual
THERESA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ORANGE PL, IRVINGTON, NJ 07111-2040
(716) 249-9998
Mailing address
4 ORANGE PL, IRVINGTON, NJ 07111-2040
(716) 617-1017
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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