Most Relevant Information
Provider Data
| NPI Number: | 1003521733 |
| Provider Name: | JACOB DANIEL SHAPIRO MA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/17/2023 |
| Last Updated: | 01/17/2023 |
Provider Practice Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Practice Location Phone/Fax
| Phone: | 1360457043 |
| Fax: |
Provider Mailing Location
118 E 8TH ST
PORT ANGELES
WA
983626129
Provider Mailing Phone/Fax
| Phone: | 1360457043 |
| Fax: |