Individual
ALICIA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1611 S GREEN RD STE 65, SOUTH EUCLID, OH 44121-4129
(216) 553-5055
Mailing address
8055 MAYFIELD RD STE 105, CHESTERLAND, OH 44026-2447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-010642
OH
207Q00000X
Family Medicine Physician
Primary
34.010642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34135501251
—
OH
Enumeration date
03/24/2009
Last updated
12/04/2020
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