Individual
CHRISTINA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
410 S SPRUCE ST, BURLINGTON, WA 98233-2234
(360) 757-9048
Mailing address
3715 COMMERCIAL AVE, ANACORTES, WA 98221-4238
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60521851
WA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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