Individual
BREANA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
723 SW 10TH ST, RENTON, WA 98057-5223
(206) 461-4880
Mailing address
723 SW 10TH ST, RENTON, WA 98057-5223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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