Individual
MRS. SUZANNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA.C
Contact information
Practice address
12 COMMONS STREET, SUITE 1, RUTLAND, VT 05701-4601
(802) 770-1805
(802) 773-4876
Mailing address
12 COMMONS STREET, SUITE 1, RUTLAND, VT 05701-4601
(802) 770-1805
(802) 773-4876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0030464
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0AP1127
—
VT
Enumeration date
03/07/2007
Last updated
08/27/2007
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