Individual
MRS. JOYCE A JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL NURSE
Contact information
Practice address
3204 CANAL POINT DR, HACIENDA HEIGHTS, CA 91745-6121
(626) 333-5155
Mailing address
3204 CANAL POINT DR, HACIENDA HEIGHTS, CA 91745-6121
(626) 333-5155
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
129068
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SDT35626
SCHOOL NURSE
CA
Enumeration date
09/29/2011
Last updated
09/29/2011
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