Individual
MR. JACOB BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1414 UNIVERSITY BLVD SE, ALBUQUERQUE, NM 87106
(816) 223-4349
Mailing address
1741 BELLAMAH AVE NW APT 4308, ALBUQUERQUE, NM 87104-2263
(816) 223-4349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
721
NM
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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