Individual
SHAWNDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MACARTHUR ST, NEW HAVEN, MO 63068-1262
(573) 437-5510
Mailing address
204 MACARTHUR ST, NEW HAVEN, MO 63068-1262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016016562
MO
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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