Individual
JACOB LEIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 8TH ST, LA FERIA, TX 78559-5237
(956) 509-0325
Mailing address
400 W 8TH ST, LA FERIA, TX 78559-5237
(956) 509-0325
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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