Individual
ETHEL M JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 AMERICAN PACIFIC DR # 110-301, HENDERSON, NV 89074-7402
(702) 774-4696
Mailing address
1445 AMERICAN PACIFIC DR # 110-301, HENDERSON, NV 89074-7402
(702) 774-4696
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
251S00000X
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11940003269
SOZO FAMILY SERVICES INC
NV
Enumeration date
09/29/2011
Last updated
09/29/2011
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