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Jeffrey Lane Jones, Navy SFIDC

Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).

NPI number1316153232
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1316153232
Entity type
Individual (NPI-1)
Name
Jeffrey Lane Jones
Credential
Navy SFIDC
Sex
Male
Sole proprietor
No
Enumeration date
May 15, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

3226 Tarawa Rd
San Diego, CA 92155-5084

Phone 619-437-2845

Mailing address

558 Kurdson Way
Spring Valley, CA 91977-5834

Phone 619-479-6714

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