Individual
MRS. ROSE MARY JACOB I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 626-2792
(520) 621-5644
Mailing address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 626-2792
(520) 621-5644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN036304
AZ
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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