JACOB IW ADDIS

ATHENS, OH
NPI1295435352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
JACOB IW ADDIS
11 GRAHAM DR
ATHENS, OH 45701-1430
Phone number: 800-321-8293
Mailing Address
JACOB IW ADDIS
PO BOX 132
ATHENS, OH 45701-0132
Phone number: