Individual
IISHA LAKEYIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17542 GILLETTE WAY, LAKEVILLE, MN 55044-3404
(763) 245-9359
Mailing address
17542 GILLETTE WAY, LAKEVILLE, MN 55044-3404
(763) 245-9359
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
822730
MN
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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