NPI | 1790190064 |
---|---|
Former Name | CHERRELLE L JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5389) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006623) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2023-11-03 |