Provider Demographics
NPI:1336685312
Name:JONES, TOMIKO
Entity Type:Individual
Prefix:
First Name:TOMIKO
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:TOMIKO
Other - Middle Name:MARCIA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STATE LICENSED CNA
Mailing Address - Street 1:406 LOWELL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-6106
Mailing Address - Country:US
Mailing Address - Phone:757-634-2824
Mailing Address - Fax:804-737-2732
Practice Address - Street 1:406 LOWELL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6106
Practice Address - Country:US
Practice Address - Phone:757-634-2824
Practice Address - Fax:804-737-2732
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401064049376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide