Individual
COREY WADE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310
(256) 337-3147
Mailing address
PO BOX 105109, FORT IRWIN, CA 92310-5109
(760) 383-5053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-102835
AL
Other
Enumeration date
06/16/2008
Last updated
05/13/2024
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