Individual
CAROL JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 SW 15TH ST, NORTH LAUDERDALE, FL 33068-4406
(954) 330-9969
Mailing address
6500 SW 15TH ST, NORTH LAUDERDALE, FL 33068-4406
(954) 330-9969
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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