Individual
CHRISTIAN JACOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3128 NILE STREET, SAN DIEGO, CA 92104
(925) 584-4426
Mailing address
3128 NILE ST, SAN DIEGO, CA 92104-4812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4218
CA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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