Individual
JACOB SAM NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 I ST NW, WASHINGTON, DC 20052-0011
(202) 994-2987
Mailing address
21038 BAROLA DR, NORTHVILLE, MI 48167-9380
(734) 383-8021
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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