Individual
ZIPPORAH JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2240 N 15TH ST, PHILADELPHIA, PA 19132-4414
(267) 730-7204
Mailing address
2240 N 15TH ST, PHILADELPHIA, PA 19132-4414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN319765
PA
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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