Individual
JACOB TOWNSEND PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1323 W COLTON AVE, REDLANDS, CA 92374-4554
(909) 978-7997
Mailing address
PO BOX 10016, REDLANDS, CA 92375-3216
(909) 978-7997
(909) 361-4726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
27380
CA
Other
Enumeration date
01/21/2020
Last updated
01/23/2020
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