Jacob Trice

NPI #1003194663 in Las Vegas, Nevada

Provider Information

NPI Number: 1003194663
Entity Type: Individual
Name: Jacob Trice
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Aug 1, 2011
Last Updated: Aug 1, 2011

Practice Location

Address: 1050 E FLAMINGO RD
Address 2: STE E-120
City: Las Vegas
State: Nevada
ZIP Code: 89119-7427
Phone: (702) 733-8098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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