Provider Demographics
NPI:1891302683
Name:JONES, CAROL CLARKE
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:CLARKE
Last Name:JONES
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 1:1 HILLCREST RD
Mailing Address - Street 2:QUARTERS B
Mailing Address - City:SAN FRANSISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94130
Mailing Address - Country:US
Mailing Address - Phone:757-449-7498
Mailing Address - Fax:
Practice Address - Street 1:1 HILLCREST RD
Practice Address - Street 2:QUARTERS B
Practice Address - City:SAN FRANSISCO
Practice Address - State:CA
Practice Address - Zip Code:94130
Practice Address - Country:US
Practice Address - Phone:757-449-7498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other