MR. Samuel Jacobs, LPN
NPI #1164782389 in Burtonsville, Maryland
Provider Information
- NPI Number
- 1164782389
- Entity Type
- Individual
- Name
- MR. Samuel Jacobs, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 22, 2012
- Last Updated
- May 22, 2012
Practice Location
- Address
- 4348 LEATHERWOOD TER
- City
- Burtonsville
- State
- Maryland
- ZIP Code
- 20866-1329
- Phone
- (240) 418-5609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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