Provider Demographics
NPI:1053978395
Name:JONESCO, AMY JANE (PCD (POSTPARTUM CERT)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:JANE
Last Name:JONESCO
Suffix:
Gender:F
Credentials:PCD (POSTPARTUM CERT
Other - Prefix:MS
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:JONESCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PCD
Mailing Address - Street 1:304 LARSSON ST.
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-6731
Mailing Address - Country:US
Mailing Address - Phone:310-569-5960
Mailing Address - Fax:
Practice Address - Street 1:304 LARSSON ST.
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-6731
Practice Address - Country:US
Practice Address - Phone:310-569-5960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula