Mattie Grace Jacobs
Mattie Grace Jacobs is a Student in an Organized Health Care Education/Training Program in Bastrop, Louisiana. Works from 2 locations. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
323 W Walnut AveBastrop, LA 71220-4521
Phone: (318) 283-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1605 Stubbs Ave, Monroe, LA 71201-5629 — (318) 388-8414
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1134950520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 8, 2024 |
| Last updated in NPPES | August 8, 2024 |
| Certification date | August 8, 2024 |
| Mailing address | 7689 Westlake Rd, Sterlington, LA 71280-3231 |
Other providers in Bastrop
-
Dr. Keith Earl January Jr., MS, DMD
314 N Franklin St, Bastrop, LA 71220-3846 · (318) 283-8887