Individual
ALICE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7805 TRIMBLE DR, FORT WORTH, TX 76134-8110
(817) 691-1276
Mailing address
PO BOX 60110, FORT WORTH, TX 76115-8110
(817) 691-1276
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
106049
TX
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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