Individual
MRS. NATHALIA VANCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6975 YORK AVE S, EDINA, MN 55435-2517
(952) 920-3561
(952) 920-5133
Mailing address
6975 YORK AVE S, EDINA, MN 55435-2517
(952) 920-3561
(952) 920-5133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124164
MN
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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