Individual
ANITA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 LAKE RIDGE RD APT 7218, LEWISVILLE, TX 75056-4982
(469) 693-3589
Mailing address
PO BOX 561107, THE COLONY, TX 75056-6107
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
W57504
CA
Other
Enumeration date
05/23/2023
Last updated
02/12/2024
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