Individual
JESSE JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24582 DEL PRADO, SUITE C, DANA POINT, CA 92629-3125
(949) 276-5401
(949) 276-5403
Mailing address
23521 PASEO DE VALENCIA, SUITE B7, LAGUNA HILLS, CA 92653-3125
(949) 597-0007
(949) 597-0040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT44882
CA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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