Individual
EMILY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7040 CARROLL AVE STE 3, TAKOMA PARK, MD 20912-4465
(202) 643-9757
Mailing address
7040 CARROLL AVE STE 3, TAKOMA PARK, MD 20912-4465
(202) 643-9757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05197
MD
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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