ALFONZO L JACOBS

WILDWOOD, FL
NPI1760672364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-07-30
Last Update Date2007-07-30
Business Address
Mr. ALFONZO L JACOBS SFIDC
707 MOSS ST
WILDWOOD, FL 34785-0932
Phone number: 228-246-9613
Mailing Address
Mr. ALFONZO L JACOBS SFIDC
PO BOX 932 707 MOSS ST
WILDWOOD, FL 34785-0932
Phone number: 228-246-9613