Individual
MS. MARSHA G JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCS, RVS
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
25204
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
25204
—
2471V0105X
Vascular Sonography Radiologic Technologist
25204
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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