Individual
MISS JADE ROXANNE STONE
Active
Individual
MISS JADE ROXANNE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
190722
CA
171M00000X
Case Manager/Care Coordinator
190722
CA
174H00000X
Health Educator
190722
CA
Other
Enumeration date
10/28/2011
Last updated
08/05/2012
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