Individual
ASHLEY KEYES JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST # 8A, BRONX, NY 10451-5504
(718) 579-6151
Mailing address
10533 LE CONTE AVE, LOS ANGELES, CA 90024-3305
(310) 694-4711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
267656
NY
Other
Enumeration date
03/31/2011
Last updated
10/02/2024
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