Individual
MR. JACOB MICHAEL THOMASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 32ND ST E APT 113, WILLISTON, ND 58801-5082
(541) 844-8909
Mailing address
215 32ND ST E APT 113, WILLISTON, ND 58801-5082
(541) 844-8909
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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