Individual
JACOB ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7761 VALLE VISTA DR, RANCHO CUCAMONGA, CA 91730-1837
(407) 580-0406
Mailing address
7761 VALLE VISTA DR, RANCHO CUCAMONGA, CA 91730-1837
(407) 580-0406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95074734
CA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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