Individual
MR. TAYLOR A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
Mailing address
800 W 1ST ST, APT 2D, CHENEY, WA 99004-8992
(509) 747-8224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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