Individual
SUSANA ELIZABETH JACOBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 SE 17TH ST APT 1107, FORT LAUDERDALE, FL 33316-3060
(617) 849-3985
Mailing address
1819 SE 17TH ST APT 1107, FORT LAUDERDALE, FL 33316-3060
(617) 849-3985
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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