Individual
BRIAN THOMAS JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7263
Mailing address
4554 MARMIAN WAY, RIVERSIDE, CA 92506-2336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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