Crystal Trenika Jones
Contractor in Lake Charles, LA. Individual provider (NPI-1).
NPI number1619445723
StatusActive
Last updated in NPPESNov 6, 2018
Details
- NPI
- 1619445723
- Entity type
- Individual (NPI-1)
- Name
- Crystal Trenika Jones
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2018
- Last updated
- Nov 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 008221900 | LA | Yes |
Practice location
1212 Sally Mae StLake Charles, LA 70601-1530
Phone 337-707-5635
Mailing address
Po Box 1222Westlake, LA 70669-1222
Phone 337-707-5635
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