Individual
MR. JACOB EMMANUEL BAYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A
Contact information
Practice address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
525610
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
2814
CA
Other
Enumeration date
04/25/2006
Last updated
02/11/2022
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