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Individual

JACOB ALAN BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3012 BAY SHORE LN, SUFFOLK, VA 23435-3176
(757) 775-1996
Mailing address
3012 BAY SHORE LN, SUFFOLK, VA 23435-3176
(757) 775-1996

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
218197-702196
VA

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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