JACOB VINING

THE DALLES, OR
NPI1578300810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  112574)
Enumeration Date2024-07-12
Last Update Date2024-12-10
Business Address
JACOB VINING
1060 WEBBER ST
THE DALLES, OR 97058-3749
Phone number: 541-296-5452
Mailing Address
JACOB VINING
1060 WEBBER ST
THE DALLES, OR 97058-3749
Phone number: 541-296-5452