Individual
VICTOR DOUGLAS JACOB II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
23 PLANTATION PARK DR STE 303, BLUFFTON, SC 29910-9012
(843) 410-8638
Mailing address
33 DANIELS ISLAND WAY, BLUFFTON, SC 29910-6170
(843) 295-8811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4708
SC
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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