Kelly Jacobs

NPI #1003157173 in Toledo, Ohio

Provider Information

NPI Number
1003157173
Entity Type
Individual
Name
Kelly Jacobs
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 13, 2013
Last Updated
Mar 13, 2013

Practice Location

Address
4309 289TH ST
City
Toledo
State
Ohio
ZIP Code
43611-2908
Phone
(419) 276-0147

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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