Jordan Jacobs, LAC, MACOM

NPI #1265943997 in Jonestown, Texas

Provider Information

NPI Number: 1265943997
Entity Type: Individual
Name: Jordan Jacobs, LAC, MACOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC, MACOM
Enumeration Date: Oct 20, 2017
Last Updated: Oct 20, 2017

Practice Location

Address: 10402 LAKESIDE DR
City: Jonestown
State: Texas
ZIP Code: 78645-3466
Phone: (512) 337-2588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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