Provider Demographics
NPI:1083441075
Name:HUGHES, FEMALE JONEVA
Entity type:Individual
Prefix:MS
First Name:FEMALE
Middle Name:JONEVA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FEMALE
Other - Middle Name:JONEVA
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1520 E. COVELL BLVD
Mailing Address - Street 2:B5-493
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1366
Mailing Address - Country:US
Mailing Address - Phone:530-424-2201
Mailing Address - Fax:530-237-0437
Practice Address - Street 1:1520 E. COVELL BLVD
Practice Address - Street 2:B5-493
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1366
Practice Address - Country:US
Practice Address - Phone:530-424-2201
Practice Address - Fax:530-237-0437
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA004500223-00051922347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle