Individual
KELLY ALLEEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 NEWMARK AVE, COOS BAY, OR 97420-4704
(541) 404-4408
Mailing address
1741 NEWMARK AVE, COOS BAY, OR 97420-4704
(541) 404-4408
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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