Individual
MARIAMMA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1000 W CARSON ST., TORRANCE, CA 90501
(310) 222-3446
Mailing address
1000 W CARSON ST BOX 3, TORRANCE, CA 90501
(310) 222-3446
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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