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Individual

ALEXANDER NELSON JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1150 S OLIVE ST STE 1400, LOS ANGELES, CA 90015-2871
(213) 821-5977
Mailing address
1150 S OLIVE ST STE 1400, LOS ANGELES, CA 90015-2871
(213) 821-5977

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/16/2020
Last updated
05/03/2021
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