Individual
JACOB ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 ALMMAN AVE., MARSHALL, AK 99585
(907) 679-6226
(907) 679-6659
Mailing address
PO BOX 10, MARSHALL, AK 99585
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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