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Organization

CALIFORNIA MARITIME ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD JAKUBOWSKI (PROVOST/VICE PRESIDENT)
(707) 654-1020
Entity
Organization

Contact information

Practice address
200 MARITIME ACADEMY DR, VALLEJO, CA 94590-8181
(707) 654-1170
(707) 654-1171
Mailing address
200 MARITIME ACADEMY DR, VALLEJO, CA 94590-8181
(707) 654-1170
(707) 654-1171

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
G057385
CA

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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