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NPI Code Detail

MEDICARE: RAE'DON RA'SHAWN JONES

MEDICARE:   RAE'DON RA'SHAWN JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1841060001
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAE'DON RA'SHAWN JONES
Provider Business Mailing Address
First Line : 3260 FOUNTAIN FALLS WAY UNIT 2151
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2236
Country : US
Telephone Number : 702-308-7948
Fax Number :
Provider Business Practice Location Address
First Line : 3260 FOUNTAIN FALLS WAY UNIT 2151
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2236
Country : US
Telephone Number : 702-308-7948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 01/08/2024

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Directions to “ RAE'DON RA'SHAWN JONES ” Practice Location

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