Individual
MR. WILL M JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3317 POST ROAD, LAPORTE, CO 80535-0651
(970) 631-1427
Mailing address
3317 POST ROAD, LAPORTE, CO 80535-0651
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
347E00000X
Transportation Broker
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143197
—
CO
Enumeration date
07/24/2017
Last updated
07/24/2017
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