Individual
MALINDA KAYE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Mailing address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
742097
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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