Individual
MARIA ELENA JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14525 LAKEWOOD BLVD STE A, PARAMOUNT, CA 90723-3638
(562) 272-0000
Mailing address
14525 LAKEWOOD BLVD STE A, PARAMOUNT, CA 90723-3638
(562) 272-0000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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