Individual
MS. DONNA MARVA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, MA, MSN
Contact information
Practice address
16627 AVALON BLVD, CARSON, CA 90746-1008
(310) 769-6797
(310) 769-1009
Mailing address
4603 ANGELES VISTA BLVD, PO BOX 43781, LOS ANGELES, CA 90043-1153
(323) 298-9999
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN269945
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN269945
CA
Other
Enumeration date
05/25/2007
Last updated
12/14/2011
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