Individual
DANIELLE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2622 W MAIN ST, BOZEMAN, MT 59718-3967
(406) 585-5810
Mailing address
107 TAIL FEATHER LN UNIT C, BOZEMAN, MT 59718-3012
(786) 250-7608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12118
FL
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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