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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB S DIESERU

Active Sole Proprietor

MR. JACOB S DIESERU is a Home Health Aide healthcare provider located in FORT WORTH, Texas. NPI 1619435021 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · FORT WORTH, TX

Registration Details

NPI Number
1619435021
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2019 (7.2618097557571 yrs)
Last Updated
Mar 5, 2019
Sole Proprietor
Yes

Practice Information

Address
3740 RAMONA DR APT B
FORT WORTH, TX, 761167070
Browse TX providers · Browse ZIP 76116
Phone
6823601115
Primary Specialty
Home Health Aide
374U00000X

Other Home Health Aide Providers in FORT WORTH, TX

Name Credential NPI
MS. NICOLE RIVERS NRCMA 1629219571
ANNETTE RHODES 1962785758
YAKIA COLLIER 1083085070
KAWANDA JORDAN 1033628318
SHAQWANA WOODARD 1114408655
SHELIA MINOR 1396211397
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.