JACOB VENN BACA

SEATTLE, WA
NPI1881459956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-19
Last Update Date2025-06-07
Business Address
JACOB VENN BACA
1901 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-4801
Phone number: 206-793-6319
Mailing Address
JACOB VENN BACA
223 14TH AVE E APT 102
SEATTLE, WA 98112-5254
Phone number: 510-709-6869