Individual
DITRA ALLYN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8125 KLUMBAGO RD, PLAINFIELD, IN 46168-4901
(463) 710-4867
Mailing address
8125 KLUMBAGO RD, PLAINFIELD, IN 46168-4901
(463) 710-4867
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1306712
IN
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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