Individual
KELLI D'NELL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-EHKJO
CA
Other
Enumeration date
08/22/2023
Last updated
10/25/2023
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