Individual
MRS. THERESA BURNAM JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 ELDORADO DR, PAHOKEE, FL 33476-1658
(561) 440-1199
Mailing address
3101 ELDORADO DR, PAHOKEE, FL 33476-1658
(561) 440-1199
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
235829
FL
376J00000X
Homemaker
Primary
235829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024165100
—
FL
Enumeration date
07/10/2018
Last updated
06/11/2019
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