Individual
ANDREW RAY JAKUBOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 ABBOTT ST, SALINAS, CA 93901-4485
(831) 225-0989
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(831) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F5496034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UUE1012938U0
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/02/2019
Last updated
03/02/2019
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