Individual
LATASHA SHENISE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2030 E 19TH ST APT C, SAN BERNARDINO, CA 92404-5800
(909) 380-3105
Mailing address
1650 SPRUCE ST STE 250, RIVERSIDE, CA 92507-7429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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