MARY JACOBSEN

MERRITT ISLAND, FL
NPI1154590511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN645881)
Enumeration Date2008-02-29
Last Update Date2008-02-29
Business Address
-- MARY JACOBSEN LPN
2575 N COURTENAY PKWY
MERRITT ISLAND, FL 32953-4126
Phone number: 321-639-5787
Mailing Address
-- MARY JACOBSEN LPN
2575 N COURTENAY PKWY
MERRITT ISLAND, FL 32953-4126
Phone number: 321-639-5787