Individual
MR. JACOB DANIEL KOSEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MM, MT-BC
Contact information
Practice address
1210 S MAPLE AVE, TEMPE, AZ 85281-8664
(808) 375-0423
Mailing address
1210 S MAPLE AVE, TEMPE, AZ 85281-8664
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
D06620306
AZ
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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