Individual
JACOB CHARLES CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 W MAIN ST, SAFFORD, AZ 85546-2724
(928) 322-9166
Mailing address
3450 N REED LN, SAFFORD, AZ 85546-9585
(928) 322-5493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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