Individual
TRUDY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 S 117TH AVE, AVONDALE, AZ 85323-4202
(216) 244-9401
Mailing address
PO BOX 262, CASHION, AZ 85329-0262
(623) 440-6439
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
07/24/2024
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