MR. Tyrone Ronnell Jacobs SR.
NPI #1558045542 in Ruther Glen, Virginia
Provider Information
- NPI Number
- 1558045542
- Entity Type
- Individual
- Name
- MR. Tyrone Ronnell Jacobs SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 12, 2023
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 436 CORNWALL DR
- City
- Ruther Glen
- State
- Virginia
- ZIP Code
- 22546-1132
- Phone
- (540) 684-4597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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