Individual
MR. JACOB M JOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
4723 WOBURN DR, LAKE ORION, MI 48359-1767
(248) 259-4640
Mailing address
4723 WOBURN DR, LAKE ORION, MI 48359-1767
(248) 259-4640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86155395
MI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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