Individual
SHANTI JONES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
62ND MED GROUP, 690 BARNES AVE, MCCHORD AFB, WA 98438
(253) 982-6330
Mailing address
5516 82ND ST SW, APT H202, LAKEWOOD, WA 98499-2992
(253) 592-2010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174167
NC
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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