Individual
JACOB MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 E GLENHURST DR, TUCSON, AZ 85704-6631
(520) 591-9196
Mailing address
4501 N CAMINO DEL OBISPO, TUCSON, AZ 85718-6605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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