Individual
LAURA L JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4921 VZ COUNTY ROAD 3812, WILLS POINT, TX 75169-5513
(903) 269-7943
Mailing address
4921 VZ COUNTY ROAD 3812, WILLS POINT, TX 75169-5513
(903) 269-7943
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330619
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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