Doctor Name: | MISS BONNIE DELIGHT JONES |
NPI Number: | 1093910333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MAOOO8865 |
Business Practice Address: | 30 Lake Shore Plz Ste B Kirkland, WA - 980336175 |
Business Phone Number: | 2066298882 |
Business Fax Number: | 4258224325 |
Mailing Address: | 30 Lake Shore Plz Ste B, KIRKLAND |
State: | WA |
Postal Code: | 980336175 |
Phone Number: | 2066298882 |
Fax Number: | 4258224325 |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 12/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MAOOO8865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |