Individual
CRISTA LEIGH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 1ST STREET #A313, SEAL BEACH, CA 90740-9074
(951) 897-7840
Mailing address
333 1ST STREET #A313, SEAL BEACH, CA 90740-9074
(951) 897-7840
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
10/03/2021
Last updated
10/03/2021
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