Individual
MS. CHERYL R. JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
610 WILHORN RD. #30, NEKOOSA, WI 54457
(715) 886-1213
Mailing address
610 WILHORN RD. #30, NEKOOSA, WI 54457
(715) 886-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
889
WI
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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