Individual
SARAH E JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMP
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
2710 SCHIRM LOOP RD NW, OLYMPIA, WA 98502-9303
(360) 790-0206
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LP00052241
WA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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