Individual
JONATHAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT-P
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2288
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
107193
WY
Other
Enumeration date
03/12/2018
Last updated
03/19/2018
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