Individual
JACOB JAY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9219 ACADEMY RD, PHILADELPHIA, PA 19114-3620
(267) 616-0844
Mailing address
9219 ACADEMY RD, PHILADELPHIA, PA 19114-3620
(267) 616-0844
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
PA151310
PA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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