Individual
CYNTHIA A JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, MS
Contact information
Practice address
351 ROLLING OAKS RD, SUITE 101, THOUSAND OAKS, CA 91361
(805) 497-1105
(805) 497-6144
Mailing address
609 CORRIENTE CT, CAMARILLO, CA 93010-1607
(805) 444-1920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W15143
CONEJO ANESTHESIA
CA
Enumeration date
03/06/2007
Last updated
05/17/2018
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