Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | MD60697601 | WA |
NPI | 1255652731 |
---|---|
Provider Name | Dr. Ashley T Jones |
First Address | Tacoma, WA 98405 |
Second Address | Tacoma, WA 98405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 02/11/2016 |