Individual
ANN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CROWN POINT CIR STE 110, GRASS VALLEY, CA 95945-9514
(530) 265-1450
(530) 271-0837
Mailing address
500 CROWN POINT CIR STE 110, GRASS VALLEY, CA 95945-9514
(530) 265-1450
(530) 271-0837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
540975
CA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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