Individual
MR. JACOB DAVID MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-1
Contact information
Practice address
2135 E VALLEY PKWY, ESCONDIDO, CA 92027-2744
(818) 970-5120
Mailing address
2135 E VALLEY PKWY, ESCONDIDO, CA 92027-2744
(818) 970-5120
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
54935
CA
Other
Enumeration date
12/06/2009
Last updated
03/13/2012
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