Individual
ALPHONSO S JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3548 47TH ST S APT 201, FARGO, ND 58104-4008
(701) 720-5588
Mailing address
3548 47TH ST S APT 201, FARGO, ND 58104-4008
(701) 720-5588
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
53989
ND
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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