Individual
REBA WILLIAMS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17160 N.MAGNOLIA DR., DOLAN SPRING, AZ 86441
(928) 767-3855
Mailing address
P.O.BOX 203, 15893 N.EDGEMONT DR., DOLAN SPRINGS, AZ 86441
(928) 671-0709
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/14/2009
Last updated
09/20/2009
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