Individual
VICTORIA LEA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
875 E MAIN ST, WACONIA, MN 55387-1081
(952) 442-0333
Mailing address
8024 AUTUMN RIDGE WAY, CHANHASSEN, MN 55317-8449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8802
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889638100
—
MN
Enumeration date
07/24/2006
Last updated
05/04/2016
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