Individual
MR. EDMUND F JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
31706 40TH AVE S, ROY, WA 98580-8640
(206) 369-0297
Mailing address
31706 40TH AVE S, ROY, WA 98580-8640
(206) 369-0297
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60103665
WA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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