Individual
TINA DAVROS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
555 BLACK OAK DR STE 310, MEDFORD, OR 97504-8491
(541) 789-5096
(541) 789-4674
Mailing address
555 BLACK OAK DR STE 310, MEDFORD, OR 97504-8491
(541) 789-5096
(541) 789-4674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000518
OR
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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