JACOB R GISBY

LONGVIEW, WA
NPI1598548075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WA  NC61043068)
Enumeration Date2023-08-17
Last Update Date2023-08-17
Business Address
JACOB R GISBY
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
Mailing Address
JACOB R GISBY
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203