Individual
AD JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 GLACIER DR, MARTINEZ, CA 94553-4826
(925) 957-2757
Mailing address
298 MILDRED AVE, PITTSBURG, CA 94565-3733
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
244698
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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