Andrea E Jones LAT

NPI 1003978966 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1003978966
Gender Female
Enumeration Date 12/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1630 COMMANCHE AVE
GREEN BAY WI, 54313-5753, US
Phone (920) 430-4754
Fax
Business Location
520 COMMERCIAL ST APT 5
SEYMOUR WI, 54165-8461, US
Phone (920) 517-1086
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 794-039
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According to our database, Andrea E Jones LAT NPI is 1003978966, taxonomy code is 2255A2300X and license number is 794-039, license state is located at Wisconsin. Andrea E Jones LAT physically located at 1630 Commanche Ave, Green Bay WI, 54313-5753. NPI Number Andrea E Jones LAT has the Individual type.

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1003978966 NPI number is provided on an as is basis without warranty of any kind. 1003978966 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea E Jones LAT are for informational purposes only.