Organization
JACOB'S HEART CHILDREN'S CANCER SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE K BUTTERWORTH (EXECUTIVE DIRECTOR)
(831) 724-9100
Entity
Organization
Contact information
Practice address
680 W BEACH ST, WATSONVILLE, CA 95076-5140
(831) 724-9100
Mailing address
680 W BEACH ST, WATSONVILLE, CA 95076-5140
(831) 724-9100
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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