Individual
MR. JACOB MOSBRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 613-0596
(408) 259-2273
Mailing address
3651 SPRINGBROOK AVE, SAN JOSE, CA 95148-3132
(408) 613-0596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95259161
CA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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