Individual
MRS. ALESIA MARIE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6985 HOLT DR, COLORADO SPRINGS, CO 80922-1608
(719) 572-5853
Mailing address
6985 HOLT DR, COLORADO SPRINGS, CO 80922-1608
(719) 572-5853
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
903738
CO
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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