Individual
IVORY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 W TOBIAS ST, FLINT, MI 48503-3975
(810) 233-4093
Mailing address
304 W TOBIAS ST, FLINT, MI 48503-3975
(810) 233-4093
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
07/18/2016
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