Individual
MOLLY A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 SW CENTURY DR STE 120, BEND, OR 97702-1167
(802) 377-1261
Mailing address
64682 COOK AVE # 66, BEND, OR 97703-9033
(802) 377-1261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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