Jacob Iw Addis Valid NPI
Individual provider · Community Health Worker · Athens, OH
- NPI
- 1295435352
- Type
- Individual (Type 1)
- Primary specialty
- Community Health Worker
- Specialty group
- Other Service Providers
- Taxonomy code
- 172V00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-03-07
- Last updated
- 2023-03-07
Practice location
11 Graham Dr
Athens, OH 45701-1430
(800) 321-8293