Jacobra LLC

NPI #1760922975 in Herndon, Virginia

Provider Information

NPI Number: 1760922975
Entity Type: Organization
Organization Name: Jacobra LLC
Primary Specialty: Technician, Other
Enumeration Date: Mar 7, 2017
Last Updated: Mar 7, 2017

Practice Location

Address: 455 CARLISLE DR STE B
City: Herndon
State: Virginia
ZIP Code: 20170-5621
Phone: (703) 303-1576

Authorized Official

Name: DARLENE LAFRAMBOISE
Title: OWNER
Phone: (703) 303-1576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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