Jacob Medford

NPI 1497415475 · on the registry since 2021 · sole proprietor

Practice

Address: 1204 E Baseline Rd Ste 205
Tempe, AZ 85283
Phone: (619) 708-1440
Organisation at this address: Rad Aba Llc
Healvine Llc
Health Care@Home, Llc
Jey H'S Safe House Inc
Supreme Home Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 261QR0401X
261QR0401X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona