| NPI | 1821811522 |
|---|---|
| Professional Name | JACOB OLLIS EUBANKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2015002439) |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-02 |