Individual
ANGELA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 JOY ST, EATONVILLE, WA 98328-7027
(253) 227-1852
Mailing address
646 JOY ST, EATONVILLE, WA 98328-7027
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2532271852
CAREGIVER THRU VA
—
Enumeration date
12/11/2019
Last updated
12/11/2019
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