Individual
SCOTT DOMINICK JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(985) 507-0273
Mailing address
285 E MCCLELLAN ST, PONCHATOULA, LA 70454-2843
(985) 507-0273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
337148
LA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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