Individual
MR. RONALD JAY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10407 AIRPORT ROAD, EVERETT, WA 98204
(425) 418-3329
Mailing address
1928 65TH ST NE, TULALIP, WA 98271-9137
(425) 418-3329
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN00167172
WA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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