Individual
VANESSA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9430 E NEVILLE AVE, MESA, AZ 85209-1500
(480) 635-2011
Mailing address
3706 E FAIRFIELD ST, MESA, AZ 85205-4970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN139918
AZ
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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