Individual
MRS. JOAN ELLEN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2221 LAKE ROCKWELL RD, RAVENNA, OH 44266-9409
(330) 297-9397
(330) 297-7721
Mailing address
2221 LAKE ROCKWELL RD, RAVENNA, OH 44266-9409
(330) 297-9397
(330) 297-7721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198052
OH
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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