Individual
SUSAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
Mailing address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002082540
VA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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