Individual
JACOB ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9328 GALVIN AVE, SAN DIEGO, CA 92126-4890
(858) 395-7473
Mailing address
9328 GALVIN AVE, SAN DIEGO, CA 92126-4890
(858) 395-7473
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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