Individual
JACOB SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
(570) 342-1871
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
(570) 342-1871
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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