Individual
TEQUILA SHAPEARL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26420 NE VIRGINIA ST APT C, DUVALL, WA 98019-5801
(206) 636-9893
Mailing address
26420 NE VIRGINIA ST APT C, DUVALL, WA 98019-5801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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