Individual provider · Type 1 NPI
Jack Edward Jones Ii
Home Modifications Contractor · Rancho Mirage, CA
NPI number
1699948083
Active
Practice location
90 Lake Shore Dr
Rancho Mirage, CA 92270-4054
Mailing address
90 Lakeshore Dr.
Rancho Mirage, CA 92270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | 482707 (CA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1699948083
Jack Edward Jones Ii's National Provider Identifier is 1699948083, issued on Apr 8, 2008. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Rancho Mirage, CA. The record was last updated on Apr 8, 2008.