Individual
MR. NATHANIEL MARK JONES SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
ONE DISPENSARY RD, BLDG 5, PT MUGU NAWC, CA 93042-0001
(805) 989-8264
Mailing address
1801 N VENTURA RD, APT 78, OXNARD, CA 93030-3357
(805) 485-8701
(805) 989-3936
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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