Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 0002064087 | VA |
NPI | 1336470988 |
---|---|
Provider Name | Ms. Ruth Arnetta Jones |
First Address | Henrico, VA 23227 |
Second Address | Henrico, VA 23227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2010 |
Last Update Date | 21/01/2010 |