Individual
ALEXIS LYNN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 MICHIGAN RD, BAY CITY, MI 48706-9310
(898) 605-1769
Mailing address
7110 MICHIGAN RD, BAY CITY, MI 48706-9310
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
MI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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