Individual
DANIEL WESLEY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 NICHOLS BLDV #222, SPARKS, NV 89434
(775) 412-8117
Mailing address
7874 GUERRA CT, SPARKS, NV 89436-7443
(775) 412-8117
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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