Individual
JACOB C BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1637 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4042
(401) 353-0800
Mailing address
1637 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4042
(401) 353-0800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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