Individual
JACK WILBUR JONES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 887-0000
Mailing address
8288 CARIBBEAN WAY, SACRAMENTO, CA 95826-1665
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA56807
CA
Other
Enumeration date
06/07/2019
Last updated
12/28/2021
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