Individual
ELIZABETH M JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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