Provider Demographics
NPI:1184376824
Name:JONES, LEICA M
Entity type:Individual
Prefix:
First Name:LEICA
Middle Name:M
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 1:3234 SAWTELLE BLVD APT 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1617
Mailing Address - Country:US
Mailing Address - Phone:713-560-6973
Mailing Address - Fax:
Practice Address - Street 1:3234 SAWTELLE BLVD APT 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1617
Practice Address - Country:US
Practice Address - Phone:713-560-6973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula