Jacob Avery Koontz
NPI #1831503002 in Kerman, California
Provider Information
- NPI Number
- 1831503002
- Entity Type
- Individual
- Name
- Jacob Avery Koontz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 16, 2014
- Last Updated
- Jun 16, 2014
Practice Location
- Address
- 456 S MADERA AVE
- City
- Kerman
- State
- California
- ZIP Code
- 93630-1538
- Phone
- (559) 846-7115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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