JACOB ROBERT LYNN BRUBAKER

BONNEY LAKE, WA
NPI1275880015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2012-08-10
Last Update Date2019-12-02
Business Address
JACOB ROBERT LYNN BRUBAKER C.P.O.
17927 131ST ST E
BONNEY LAKE, WA 98391-7686
Phone number: 206-790-3890
Mailing Address
JACOB ROBERT LYNN BRUBAKER C.P.O.
3400 LATOUCHE ST SUITE 100
ANCHORAGE, AK 99508-4208
Phone number: 907-561-1777