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Individual

JULIE DORIS JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2300 STOCKTON BLVD STE 1700, SACRAMENTO, CA 95817-2202
(800) 282-3284
Mailing address
2300 STOCKTON BLVD STE 1700, SACRAMENTO, CA 95817-2202
(800) 282-3284

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
22374
CO
207QA0505X
Adult Medicine Physician
4301052531
MI
207QA0505X
Adult Medicine Physician
Primary
G39969
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376819433
NPI
CA
Enumeration date
03/22/2012
Last updated
04/20/2021
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