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NPI Code Detail

MEDICARE: MRS. JUDITH GAYLE JONES-GERMANY NONE

MEDICARE: MRS. JUDITH GAYLE JONES-GERMANY NONE
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1407046097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH GAYLE JONES-GERMANY NONE
Provider Business Mailing Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number : 510-533-0800
Fax Number :
Provider Business Practice Location Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number : 510-533-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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Directions to “ MRS. JUDITH GAYLE JONES-GERMANY NONE” Practice Location

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