Individual
CLIFTON JONES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
486 PROVIDENCE ST, LAKE PROVIDENCE, LA 71254-5727
(318) 493-6070
Mailing address
486 PROVIDENCE ST, LAKE PROVIDENCE, LA 71254-5727
(318) 493-6070
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
011183928
LA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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