Individual
BROOKE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 S MARYLAND PKWY STE 310, LAS VEGAS, NV 89109-1566
(702) 240-3800
(702) 240-3001
Mailing address
1290 LIME POINT ST, LAS VEGAS, NV 89110-1980
(702) 459-0795
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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