Individual
VERA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 PRINCESS ANN DR, DURHAM, NC 27703-2518
(917) 676-6816
Mailing address
415 PRINCESS ANN DR, DURHAM, NC 27703-2518
(917) 676-6816
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
39118841
NC
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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