Individual
FANTASIA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3790 GUESS RD STE 102, DURHAM, NC 27705-6916
(919) 294-6001
Mailing address
3790 GUESS RD STE 102, DURHAM, NC 27705-6916
(919) 294-6001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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