Individual
JACOB THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
116 DAISY LN, CHARLOTTESVILLE, VA 22901-5726
(201) 492-7392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001285706
VA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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