Individual
SHANA TENNILLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-0062
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-0062
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8359
NC
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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