Individual
COLETTE R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 W 19TH ST, LORAIN, OH 44052-3832
(144) 025-8087
Mailing address
1022 W 19TH ST, LORAIN, OH 44052-3832
(144) 025-8087
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
4705890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4705890
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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