Provider Demographics
NPI:1407116213
Name:JONES, CHERIE
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
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 1:2555 CORDE TERRA CIR UNIT 331
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1965
Mailing Address - Country:US
Mailing Address - Phone:408-598-7900
Mailing Address - Fax:
Practice Address - Street 1:2555 CORDE TERRA CIR
Practice Address - Street 2:#331
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1955
Practice Address - Country:US
Practice Address - Phone:408-598-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAKK276862174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist