Provider Demographics
NPI:1821605510
Name:JONES, SALINA LAQUEESTA
Entity Type:Individual
Prefix:MS
First Name:SALINA
Middle Name:LAQUEESTA
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 1:1344 FREER ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8123
Mailing Address - Country:US
Mailing Address - Phone:843-709-0327
Mailing Address - Fax:
Practice Address - Street 1:1344 FREER ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-8123
Practice Address - Country:US
Practice Address - Phone:843-709-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care