Individual
MR. DANIEL WILLIAM JACOBSON
Active
Individual
MR. DANIEL WILLIAM JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
17320
CA
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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