Individual
FARRAH ASHLEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 BARB ST STE A, SILVERDALE, WA 98315-2050
(360) 315-4391
Mailing address
2100 THRESHER AVE, SILVERDALE, WA 98315-2103
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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