Individual
JENNIFER CLARK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1204019506
VA
Other
Enumeration date
10/05/2016
Last updated
08/02/2017
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