Austin Jonathan Jacobsen Scoville

NPI #1992460893 in Indio, California

Provider Information

NPI Number: 1992460893
Entity Type: Individual
Name: Austin Jonathan Jacobsen Scoville
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 4, 2021
Last Updated: Nov 4, 2021

Practice Location

Address: 44199 MONROE ST
City: Indio
State: California
ZIP Code: 92201-3096
Phone: (951) 715-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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