Provider Demographics
NPI:1285969121
Name:JONES, DAWN NICOLE (LMT)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:NICOLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5082 DUBOIS DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1922
Mailing Address - Country:US
Mailing Address - Phone:858-603-8580
Mailing Address - Fax:858-274-1215
Practice Address - Street 1:7875 CONVOY CT STE A5
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1223
Practice Address - Country:US
Practice Address - Phone:858-603-8580
Practice Address - Fax:858-274-1215
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA19996225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist