Jacob Holland, LPN
NPI #1891413308 in Kelso, Washington
Provider Information
- NPI Number
- 1891413308
- Entity Type
- Individual
- Name
- Jacob Holland, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 19, 2022
- Last Updated
- Aug 19, 2022
Practice Location
- Address
- 305 PACIFIC AVE S STE C
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-1638
- Phone
- (360) 795-5008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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