Individual
CHRISTIAN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 TULANE AVE # SL-59, NEW ORLEANS, LA 70112-2632
(504) 988-5454
Mailing address
840 TCHOUPITOULAS ST, UNIT 308, NEW ORLEANS, LA 70130-3672
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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