TINA MARIE JACOBS

ENGLEWOOD, CO
NPI1649703307
Former NameTINA MARIE JESELUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110256)
Enumeration Date2017-04-09
Last Update Date2018-12-17
Business Address
Mrs. TINA MARIE JACOBS PA
304 INVERNESS WAY S STE 312
ENGLEWOOD, CO 80112-5826
Phone number: 303-218-6657
Mailing Address
Mrs. TINA MARIE JACOBS PA
10269 W WESLEY PL
LAKEWOOD, CO 80227-3074
Phone number: 414-807-7941