Individual
THOMAS MATTHEW JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 RAILWAY AVE, SEWARD, AK 99664
(907) 224-5257
Mailing address
11753 AVALON ST, SEWARD, AK 99664
(480) 331-8516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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