JACOB SOMEN

FLAGSTAFF, AZ
NPI1356080238
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R3888)
Enumeration Date2022-05-31
Last Update Date2022-08-04
Business Address
JACOB SOMEN DO
2920 N 4TH ST
FLAGSTAFF, AZ 86004-1816
Phone number: 928-522-9879
Mailing Address
JACOB SOMEN DO
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: