Individual
DIETRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 HAMRICK AVE, ROMEOVILLE, IL 60446-1624
(815) 666-5817
Mailing address
613 HAMRICK AVE, ROMEOVILLE, IL 60446-1624
(815) 666-5817
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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