JACOB VENN BACA

TACOMA, 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 Date2024-02-19
Business Address
JACOB VENN BACA
915 S ORCHARD ST
TACOMA, WA 98465-2420
Phone number: 253-414-7461
Mailing Address
JACOB VENN BACA
2102 N 105TH ST APT J102
SEATTLE, WA 98133-9526
Phone number: 510-709-6869
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