Individual
BARBARA GWEN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4978 ADAH DR, MANLIUS, NY 13104-1101
(267) 718-1236
Mailing address
4978 ADAH DR, MANLIUS, NY 13104-1101
(267) 718-1236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
784130-01
NY
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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