Individual
ANIEFIOK JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3306 SHELBY DR, JONESBORO, AR 72404-0637
(870) 219-1692
Mailing address
604 FOX RUN DR, JONESBORO, AR 72404-0511
(870) 623-4013
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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