Individual
MR. JACOB BERNARD CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
609 10TH AVE E, SEATTLE, WA 98102-5019
(206) 571-4267
Mailing address
1318 N 167TH ST, SHORELINE, WA 98133-5408
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA00016444
WA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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