Individual
JAKOB CREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 W D. L. INGRAM AVE, 1408, CANNON AFB, NM 88101
(832) 472-1645
Mailing address
15338 CHESHUNT LN, CHANNELVIEW, TX 77530-2202
(832) 472-1645
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
03/16/2023
Last updated
08/11/2023
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