Individual
MR. JACOB EARL FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3123 MCDONALD ST, SIOUX CITY, IA 51104-3905
(171) 249-0770
Mailing address
3123 MCDONALD ST, SIOUX CITY, IA 51104-3905
(171) 249-0770
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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