Individual
MELISSA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9033
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
050621
AZ
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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