Provider Information for 1912361981
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JENNIFER JONES
Sex: Female
NPI: 1912361981
Last Updated: 2016-04-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1912361981 | ||||||||
| Enumeration Date | 2016-04-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1600 NW 110TH AVE APT 182 PLANTATION, FL 33322-6418 United States Phone: 330-348-3297 | Fax: | ||||||||
| Primary Practice Address | 1600 NW 110TH AVE APT 182 PLANTATION, FL 33322-6418 United States Phone: 330-348-3297 | Fax: | ||||||||
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