Most Relevant Information
Provider Data
| NPI Number: | 1003393067 |
| Provider Name: | ALONZO JONES |
| Entity Type: | Individual |
| Taxonomy Code: | 335G00000X |
| Specialty: | Medical Foods Supplier |
| License Number: | 2848951 |
Most Important Dates
| Enumeration Date: | 07/23/2018 |
| Last Updated: | 07/23/2018 |
Provider Practice Location
5617 HORNADAY RD
UNIT J
GREENSBORO
NC
27409
Practice Location Phone/Fax
| Phone: | 3369879303 |
| Fax: |
Provider Mailing Location
5617 HORNADAY RD UNIT J
GREENSBORO
NC
274092924
Provider Mailing Phone/Fax
| Phone: | 3369879303 |
| Fax: |