Individual
AMY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
160 BASHAM RD, POLLOK, TX 75969-4406
(936) 208-3093
Mailing address
160 BASHAM RD, POLLOK, TX 75969-4406
(936) 208-3093
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324451
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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