JACOB MICHAEL JOHNSON

SYRACUSE, NY
NPI1134061716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-06
Last Update Date2026-04-06
Business Address
JACOB MICHAEL JOHNSON
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-4472
Mailing Address
JACOB MICHAEL JOHNSON
750 E ADAMS ST
SYRACUSE, NY 13210-1834
Phone number: 315-464-4472