Individual
JENNIFER JUNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
31760 CASINO DR STE 100, LAKE ELSINORE, CA 92530-4561
(951) 471-4600
Mailing address
31760 CASINO DR STE 100, LAKE ELSINORE, CA 92530-4561
(951) 471-4600
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
VYTNMPZHDLJWUKQC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356591697
—
CA
01
—
223581
EMPLOYEE NUMBER
CA
Enumeration date
09/23/2008
Last updated
03/10/2023
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