Provider Demographics
NPI:1801180302
Name:EDWARDS-JONES, MOLLY (CHIROPRACTOR)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:EDWARDS-JONES
Suffix:
Gender:F
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHIROPRACTOR
Mailing Address - Street 1:11282 MERRITT STREET
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95012
Mailing Address - Country:US
Mailing Address - Phone:831-633-4067
Mailing Address - Fax:831-633-4070
Practice Address - Street 1:11282 MERRITT STREET
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95012
Practice Address - Country:US
Practice Address - Phone:831-633-4067
Practice Address - Fax:831-633-4070
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor