Individual
MS. DENISE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1134 E 1ST ST, LONG BEACH, CA 90802-5618
(562) 606-7557
Mailing address
1134 E 1ST ST, LONG BEACH, CA 90802-5618
(562) 606-7557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
493772
CA
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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