Individual
GORDON WENDELL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
2468 BIRCHWOOD CIR, REDDING, CA 96002-3748
(530) 221-8731
(530) 221-8731
Mailing address
PO BOX 492615, REDDING, CA 96049-2615
(530) 221-8731
(530) 221-8731
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF18701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ59907Z
—
CA
Enumeration date
12/27/2006
Last updated
01/04/2008
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