Individual
JACOBY LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 526-6608
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A11126
CA
Other
Enumeration date
03/11/2010
Last updated
04/22/2020
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