Individual
MS. COLLETTA M. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
296 MONROE ST, TWIN FALLS, ID 83301-5137
(208) 733-1318
(208) 733-1766
Mailing address
296 MONROE ST, TWIN FALLS, ID 83301-5137
(208) 733-1318
(208) 733-1766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8076658
—
ID
Enumeration date
03/29/2007
Last updated
07/08/2007
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