Individual
GRETCHEN H. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 N ROSE AVE, #250, OXNARD, CA 93030
(805) 983-1700
(805) 983-7144
Mailing address
1700 N ROSE AVE, #250, OXNARD, CA 93030
(805) 983-1700
(805) 983-7144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G63450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG634500
—
CA
Enumeration date
05/10/2006
Last updated
07/25/2008
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