Individual
BENITA DIANE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 LAKESHORE DR, WAXAHACHIE, TX 75165-6804
(972) 742-6501
Mailing address
222 LAKESHORE DR, WAXAHACHIE, TX 75165-6804
(972) 742-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
840635
TX
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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