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Individual

JACOB ALLEN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
951 BLANCO CIR STE B, SALINAS, CA 93901-4451
(831) 773-6492
(831) 772-8154
Mailing address
585 LILY ST, MONTEREY, CA 93940-1629
(831) 277-3649

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C36480
CA
2084P0804X
Child & Adolescent Psychiatry Physician
C36480
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260050185
RAILROAD
CA
Enumeration date
08/09/2006
Last updated
06/21/2021
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