Individual
MISS FONETTA KAY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
1382 COLORADO DR APT 4, XENIA, OH 45385-4937
(937) 287-1659
Mailing address
1382 COLORADO DR APT 4, XENIA, OH 45385-4937
(937) 287-1659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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