Individual
RANDY JAY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
28529 MOUNTAIN VIEW RD UNIT C, CONIFER, CO 80433-7262
(303) 838-7700
Mailing address
28529 MOUNTAINVIEW RD SUITE C, CONIFER, CO 80433
(303) 838-7700
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
3501
CO
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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