Provider Demographics
NPI:1316284771
Name:JONES, DANIEL LEONARD (LMP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEONARD
Last Name:JONES
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10517 NE 38TH PL BLDG 11
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7926
Mailing Address - Country:US
Mailing Address - Phone:425-889-2882
Mailing Address - Fax:425-889-0368
Practice Address - Street 1:10517 NE 38TH PL BLDG 11
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7926
Practice Address - Country:US
Practice Address - Phone:425-889-2882
Practice Address - Fax:425-889-0368
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009449174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist