Individual
JACOB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 LONG BEACH BLVD, LONG BEACH, CA 90807-3346
(562) 304-8771
Mailing address
3722 KATELLA AVE STE C, LOS ALAMITOS, CA 90720-3102
(562) 270-2970
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8562
CA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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