Individual
JOSHUA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2807 W WASHINGTON AVE STE 117, YAKIMA, WA 98903-1367
(509) 452-8418
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1905
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RT60107255
WA
2471C3402X
Radiography Radiologic Technologist
RT60107255
WA
Other
Enumeration date
06/20/2019
Last updated
01/02/2020
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