Provider Demographics
NPI:1619221876
Name:JONES, MONICA EVE (EAMP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:EVE
Last Name:JONES
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19437
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-1437
Mailing Address - Country:US
Mailing Address - Phone:860-698-0096
Mailing Address - Fax:
Practice Address - Street 1:513 31ST AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6321
Practice Address - Country:US
Practice Address - Phone:860-698-0096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000449171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist