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
Bastrop, LANo coordinates on file. Search this address in Google Maps
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 |
Other providers in Bastrop
-
Dr. Keith Earl January Jr., MS, DMD
Student / training record Bastrop, LA