Individual
JACOBI GROOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Mailing address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(509) 321-7590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/04/2020
Last updated
05/13/2025
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