Provider Demographics
NPI:1841839255
Name:TAJONERA, JONA JANE
Entity type:Individual
Prefix:
First Name:JONA
Middle Name:JANE
Last Name:TAJONERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 OVINGTON AVE APT 1D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1555
Mailing Address - Country:US
Mailing Address - Phone:646-416-3705
Mailing Address - Fax:
Practice Address - Street 1:474 OVINGTON AVE APT 1D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1555
Practice Address - Country:US
Practice Address - Phone:646-416-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare