Jacobo, Marylou

Jacobo, Marylou is an sole proprietor health care provider with primary practice located at 10401 N Cave Creek Rd Lot 306 , Phoenix AZ 85020-1601. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jacobo, Marylou can be contacted via phone (623) 258-7712.

Contact Information

Primary practice address
10401 N Cave Creek Rd Lot 306 Phoenix AZ 85020-1601
Phone: (623) 258-7712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 1000026769 Arizona

Profile Details

NPI number 1811584451
LBN Legal business name Jacobo, Marylou
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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