Individual
TRACI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
911 NE COUNTY ROAD 400, MAYO, FL 32066-4261
(386) 647-4221
Mailing address
911 NE COUNTY ROAD 400, MAYO, FL 32066-4261
(386) 647-4221
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
117179
GA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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