Individual
CLAUDETTE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 HALLEY ST APT 2D, YONKERS, NY 10704-1646
(914) 457-8061
Mailing address
55 HALLEY ST APT 2D, YONKERS, NY 10704-1646
(914) 457-8061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
457511-1
NY
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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