Individual
CHARLENA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14093 JORDAN RD, MACHIPONGO, VA 23405
(757) 607-7753
Mailing address
PO BOX 672, EASTVILLE, VA 23347-0672
(757) 607-7753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0732001566
VA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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