Individual
SHA'MIRACLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3000
Mailing address
606 22ND ST, EAST MOLINE, IL 61244-1852
(309) 738-7754
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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