Individual
BRIAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14864 NORTHVIEW DR, MIDDLEFIELD, OH 44062-9254
(216) 702-7107
Mailing address
14864 NORTHVIEW DR, MIDDLEFIELD, OH 44062-9254
(216) 702-7107
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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