Individual
DERQUISHA RENEE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3624 VERMONT AVE, LOUISVILLE, KY 40211-2926
(502) 953-2358
Mailing address
3624 VERMONT AVE, LOUISVILLE, KY 40211-2926
(502) 953-2358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
50173342
KY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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