Individual
MS. MELISSA DALE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 SYBIL CT, SHEPHERDSTOWN, WV 25443-4669
(443) 960-0731
Mailing address
75 SYBIL CT, SHEPHERDSTOWN, WV 25443-4669
(443) 960-0731
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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