| NPI | 1063971976 |
|---|---|
| Professional Name | JACOB IVELAND |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA 3454) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 12464) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-09-10 |