NPI 1609649466
Tiffany Nicole Jacobson, COSMETICTATTOOER
Practice location
- Address
- 12415 Quiet Owl Ln, Bowie, MD 20720-4304
- Phone
- (202) 699-0664
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1609649466
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Nov 2023
- Record last updated
- 5 Nov 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.