Individual
KRISTINA KAHLE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.(R)
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-6700
Mailing address
232 W 9TH PL N, MESA, AZ 85201-4261
(480) 235-4634
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
564028
AZ
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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