JACOB FARMER

VANCOUVER, WA
NPI1437564606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60475801)
Enumeration Date2014-06-26
Last Update Date2014-06-26
Business Address
-- JACOB FARMER
811 NE 112TH AVE SUITE 100
VANCOUVER, WA 98684-5115
Phone number: 360-604-7151
Mailing Address
-- JACOB FARMER
14305 NE 94TH ST
VANCOUVER, WA 98682-3083
Phone number: 360-909-2700