JAKE EVERETT BACKEN

SAN ANTONIO, TX
NPI1356932024
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471V0105X Radiologic Technologist, Vascular Sonography
(Licence: OR  193402)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
JAKE EVERETT BACKEN RVT
415 W LYNWOOD AVE APT 2
SAN ANTONIO, TX 78212-2239
Phone number: 541-680-2858
Mailing Address
JAKE EVERETT BACKEN RVT
415 W LYNWOOD AVE APT 2
SAN ANTONIO, TX 78212-2239
Phone number: 541-680-2858
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