Individual
LISA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HOME PORT LN, GATES, NC 27937-9202
(252) 301-8769
Mailing address
40 HOME PORT LN, GATES, NC 27937-9202
(252) 301-8769
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NC
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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