Individual
MANDY L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4099 MCEWEN RD, DALLAS, TX 75244-5030
(972) 204-5092
Mailing address
4099 MCEWEN RD, DALLAS, TX 75244-5030
(972) 204-5092
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207171
TX
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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