Individual
DOMINIQUE Y JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 836-4798
Mailing address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 836-4798
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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