Individual
MR. JACOB NATHAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6799
(253) 944-4137
Mailing address
19509 9TH AVE E, SPANAWAY, WA 98387-8010
(480) 848-7236
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
7881-8076-2277
WA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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