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REBA WILLIAMS JACOBS

>> Adult Companion >> Nursing Service Related Providers

Registrant NPI Number: 1962645424

Individual Registrant:
 REBA WILLIAMS JACOBS 
Gender: F
Sole Proprietor

Location and contact information for practice:
17160 N.MAGNOLIA DR.  DOLAN SPRING, AZ 86441 US
Tel: 928-767-3855  Fax: --

Contact information for business:
P.O.BOX 203 15893 N.EDGEMONT DR. DOLAN SPRINGS, AZ 86441 US
Tel: 928-671-0709  Fax: --

Registration Information:
NPI: 1962645424
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y372600000XNursing Service Related Providers
Adult Companion
N374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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