Individual
AARCHA MARY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
5460 LENA RD UNIT 101, BRADENTON, FL 34211-9500
(941) 251-3584
(941) 254-7640
Mailing address
5460 LENA RD UNIT 101, BRADENTON, FL 34211-9500
(941) 251-3584
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
11010470
FL
Other
Enumeration date
10/26/2020
Last updated
12/14/2022
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