Mattie Grace Jacobs

NPI #1134950520 in Bastrop, Louisiana

Provider Information

NPI Number: 1134950520
Entity Type: Individual
Name: Mattie Grace Jacobs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 8, 2024
Last Updated: Aug 8, 2024

Practice Location

Address: 323 W WALNUT AVE
City: Bastrop
State: Louisiana
ZIP Code: 71220-4521
Phone: (318) 283-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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