Individual
KELLEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, RCP
Contact information
Practice address
401 BICENTENNIAL WAY STE 195, SANTA ROSA, CA 95403-2149
(707) 393-3689
Mailing address
401 BICENTENNIAL WAY STE 195, SANTA ROSA, CA 95403-2149
(707) 393-3689
Taxonomy
Speciality
Code
Description
License number
State
2279E1000X
Educational Registered Respiratory Therapist
Primary
11026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11026
STATE OF CA DCA, RESPIRATORY CARE BOARD OF CALIFORNIA
CA
Enumeration date
01/03/2019
Last updated
12/30/2021
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