Individual
MOLLI LYN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 OXFORD ST, DOVER, OH 44622-1970
(330) 364-5656
Mailing address
335 OXFORD ST, DOVER, OH 44622-1970
(330) 364-5656
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
467907
OH
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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