Provider Demographics
NPI:1275792939
Name:JONES, VEVELYN EILEEN
Entity Type:Individual
Prefix:
First Name:VEVELYN
Middle Name:EILEEN
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 1:1037 W AVENUE N STE 205
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2002
Mailing Address - Country:US
Mailing Address - Phone:661-575-9365
Mailing Address - Fax:661-575-9502
Practice Address - Street 1:1037 W AVENUE N STE 205
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-2002
Practice Address - Country:US
Practice Address - Phone:661-575-9365
Practice Address - Fax:661-575-9502
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator