NPI 1215703129

Jacob Jay Perez

Practitioner Home Modifications Contractor Philadelphia, PA

Practice location

Address: 9219 Academy Rd, Philadelphia, PA 19114-3620
Phone: (267) 616-0844

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence PA151310 (PA)

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Registry record

NPI: 1215703129
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2023
Record last updated: 1 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.