Individual
MRS. TAMI JANINE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1315 N VALLEJO WAY, UPLAND, CA 91786-3164
(909) 702-7081
Mailing address
1315 N VALLEJO WAY, UPLAND, CA 91786-3164
(909) 702-7081
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
11552
CA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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