Individual
RUTH JAKOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2610 BLAINE DR, CHEVY CHASE, MD 20815-3044
(301) 525-5245
Mailing address
2610 BLAINE DR, CHEVY CHASE, MD 20815-3044
(301) 525-5245
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
8213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8213
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
11/10/2016
Last updated
11/10/2016
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