Individual
DR. TERRI A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
815 GOUCHER BLVD, TOWSON, MD 21286-5602
(410) 296-6701
Mailing address
815 GOUCHER BLVD, TOWSON, MD 21286-5602
(410) 296-6701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA915
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA915
OPTOMETRIST LICENSE
MD
Enumeration date
06/06/2007
Last updated
07/08/2007
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