SHANDA JACOBSON

LEXINGTON, KY
NPI1720604630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: KY  4047)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
SHANDA JACOBSON RDH
3111 WALL ST
LEXINGTON, KY 40513-9008
Phone number: 859-223-1833
Mailing Address
SHANDA JACOBSON RDH
103 WINDY VIEW CT
NICHOLASVILLE, KY 40356-8851
Phone number:
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