ANDREW NATHAN JACOB

TULSA, OK
NPI1548190143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-05-23
Last Update Date2026-05-23
Business Address
ANDREW NATHAN JACOB
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
ANDREW NATHAN JACOB
512 N VINE CT
JENKS, OK 74037-3474
Phone number: 918-200-1088