Individual
ANGELA MARIE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BURNET AVE, ML 2017, CINCINNATI, OH 45229
(513) 636-4454
(513) 636-3928
Mailing address
3333 BURNET AVE, ML 2017, CINCINNATI, OH 45229-3026
(513) 636-4454
(513) 636-3928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003938
OH
Other
Enumeration date
01/31/2014
Last updated
07/30/2018
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