Jacob Dale Masters

NPI #1073070884 in Dayton, Ohio

Provider Information

NPI Number
1073070884
Entity Type
Individual
Name
Jacob Dale Masters
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Meals
Enumeration Date
Feb 28, 2019
Last Updated
Feb 28, 2019

Practice Location

Address
2706 FLOWERSTONE DR
City
Dayton
State
Ohio
ZIP Code
45449-3217
Phone
(937) 422-8598

Specialties & Taxonomy Codes

Specialty
Meals

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