Individual
JACOB JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
(413) 732-5856
Mailing address
55 BRITTANY FARMS RD APT 105, NEW BRITAIN, CT 06053-1202
(860) 922-1309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20059
CT
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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