Provider Demographics
NPI:1295082873
Name:JONES, CHINA MARY (RD, LD)
Entity type:Individual
Prefix:
First Name:CHINA
Middle Name:MARY
Last Name:JONES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WIMBLEDON GREEN CIR
Mailing Address - Street 2:APT. 224
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-4160
Mailing Address - Country:US
Mailing Address - Phone:314-607-7484
Mailing Address - Fax:
Practice Address - Street 1:2 WIMBLEDON GREEN CIR
Practice Address - Street 2:APT. 224
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-4160
Practice Address - Country:US
Practice Address - Phone:314-607-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1206133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered