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Individual

SHERRIE JACOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5500 CAMPANILE DR, STUDENT HEALTH CENTER, SAN DIEGO, CA 92182-0001
(619) 594-2866
(619) 594-5613
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-2866
(619) 594-5613

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
482381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP482381
NP LICENSE
CA
Enumeration date
09/16/2008
Last updated
09/16/2008
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