Individual
JACOB PATRICK O'HORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1833 W MAIN ST STE 131, MESA, AZ 85201-6925
(480) 461-1806
Mailing address
3301 E RAY RD APT 2026, GILBERT, AZ 85296-4560
(480) 297-4704
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E75828568
AZ
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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