Provider Demographics
NPI:1902972078
Name:JONES NEWSOME, ABIGAIL
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:JONES NEWSOME
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 1:3837 PLAZA DR STE 802
Mailing Address - Street 2:SUITE 802
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4627
Mailing Address - Country:US
Mailing Address - Phone:760-940-1132
Mailing Address - Fax:760-940-1134
Practice Address - Street 1:3837 PLAZA DR
Practice Address - Street 2:SUITE 802
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4627
Practice Address - Country:US
Practice Address - Phone:760-940-1132
Practice Address - Fax:760-940-1134
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies