Individual
JACOB MICHAEL BARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 PELICAN WAY LOT 88, BOULDER CITY, NV 89005-1228
(863) 398-0402
Mailing address
PO BOX 60484, BOULDER CITY, NV 89006-0484
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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