NPI 1619339637

Dietra Jones

Practitioner Driver Romeoville, IL

Practice location

Address: 613 Hamrick Ave, Romeoville, IL 60446-1624
Phone: (815) 666-5817

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1619339637
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2016
Record last updated: 28 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.