Individual
MRS. CHRISTINA QUEVEDO JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 N. SPARROW, FLAGSTAFF, AZ 86004
(928) 527-6163
Mailing address
2589 N OAKMONT DR, FLAGSTAFF, AZ 86004-7473
(928) 526-5696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AZ
Other
Enumeration date
05/09/2007
Last updated
07/26/2007
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