Provider Demographics
NPI:1760221378
Name:JONES, RYLAND SR
Entity type:Individual
Prefix:
First Name:RYLAND
Middle Name:
Last Name:JONES
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-7763
Mailing Address - Country:US
Mailing Address - Phone:240-274-2237
Mailing Address - Fax:
Practice Address - Street 1:126 CHESAPEAKE ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1321
Practice Address - Country:US
Practice Address - Phone:240-424-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider