Individual
DANIELLE MARIE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26 LAUREL ST, SOMERVILLE, MA 02143-2810
(978) 886-6276
Mailing address
26 LAUREL ST, SOMERVILLE, MA 02143-2810
(978) 886-6276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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