Individual
MARY GWENDOLYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 300-3294
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 300-3294
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004952
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7060890
—
WA
Enumeration date
07/25/2006
Last updated
07/30/2010
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