Jacobs Promise
Jacobs Promise is an Exclusive Provider Organization in Bowie, Maryland. Licensed in Maryland. Registered with an NPI since 2016.
- Licensed in
- MD
- In the registry since
- 2016
Practice location Address checks out
15480 Annapolis Rd Ste 202Bowie, MD 20715-1803
Phone: (301) 392-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence ZZ 103K00000X (MD) |
|---|
Record details
| NPI number | 1700321957 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Winston — Bcba · (301) 576-5487 |
| NPI enumerated | December 26, 2016 |
| Last updated in NPPES | December 26, 2016 |
| Mailing address | 15480 Annapolis Rd Ste 202, Bowie, MD 20715-1803 |
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