Individual
MR. JACOB CHERMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CNSD
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-3768
Mailing address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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