Individual
MRS. SHANNON MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
91-1023 KAI KUKUMA ST, EWA BEACH, HI 96706-6253
(808) 398-2964
Mailing address
91-1023 KAI KUKUMA ST, EWA BEACH, HI 96706-6253
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1232
HI
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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