Search › California › 171WH0202X
Jack Jones
NPI 1699948083 · on the registry since 2008 · sole proprietor
Practice
- Address
- 90 Lake Shore Dr
Rancho Mirage, CA 92270 - Phone
- (760) 469-3208
Registry record
- Primary taxonomy
- 171WH0202X
171WH0202X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California