Individual
MS. ZHANA A JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 NW TROOST ST, ROSEBURG, OR 97471-1896
(602) 573-9845
Mailing address
PO BOX 802, COOS BAY, OR 97420-0148
(541) 366-7640
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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