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NPI Code Detail

MEDICARE: LUCRECIA JONES

MEDICARE:   LUCRECIA  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 : 1841833837
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCRECIA JONES
Provider Business Mailing Address
First Line : 4118 REDONDO BEACH BLVD APT B
Second Line :
City : TORRANCE
State : CA
Zip : 90504-1061
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4118 REDONDO BEACH BLVD APT B
Second Line :
City : TORRANCE
State : CA
Zip : 90504-1061
Country : US
Telephone Number : 424-348-9905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 10/22/2019

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Directions to “ LUCRECIA JONES ” Practice Location

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