Jackson Jacob, CCP
Jackson Jacob, CCP is a Perfusionist in Livonia, Michigan. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
31330 Schoolcraft Rd Ste 200Livonia, MI 48150-2041
Phone: (734) 525-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1043622772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | May 29, 2014 |
| Last updated in NPPES | May 29, 2014 |
| Mailing address | 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 |
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