Individual
MICHELLE ERIN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
22 ODYSSEY STE 255, IRVINE, CA 92618-7701
(608) 335-7960
Mailing address
2479 SANTA ANA AVE, COSTA MESA, CA 92627-1448
(608) 335-7960
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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