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Individual

JACOB CORREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 642-2000
Mailing address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95069278
CA

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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