Individual
JACOB O POPOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7015 BONNIE DR, APT. 58, WESTLAND, MI 48185-2857
(240) 286-2177
Mailing address
7015 BONNIE DR, APT. 58, WESTLAND, MI 48185-2857
(240) 286-2177
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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