AUSTIN JONATHAN JACOBSEN SCOVILLE

INDIO, CA
NPI1992460893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
AUSTIN JONATHAN JACOBSEN SCOVILLE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 951-715-5050
Mailing Address
AUSTIN JONATHAN JACOBSEN SCOVILLE
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 951-715-5050
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