Individual
FORDELMA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25400 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-4319
(951) 570-0043
Mailing address
25400 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-4319
(951) 570-0043
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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