Individual
MRS. VALISA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 BANCROFT RD, VALDOSTA, GA 31602-7171
(229) 444-3576
Mailing address
2002 BANCROFT RD, VALDOSTA, GA 31602-7171
(229) 444-3576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN154790
GA
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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