Individual
JONATHAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3064 TAUSSIG ST, SAN DIEGO, CA 92124
(586) 713-9437
Mailing address
3064 TAUSSIG ST, SAN DIEGO, CA 92124-3637
(586) 713-9437
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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