Individual
MARIANNE D JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.D C.L.E G.S.C
Contact information
Practice address
23622 165TH AVE SE, MONROE, WA 98272-9102
(206) 999-6362
Mailing address
23622 165TH AVE SE, MONROE, WA 98272-9102
(206) 999-6362
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
601364515
WA
Other
Enumeration date
07/31/2012
Last updated
08/02/2012
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