Individual
DONALDJ R JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
887 PORTRERO AVE L- UNIT, SAN FRANCISCO, CA 94110
(415) 206-6467
Mailing address
2977 FRUITVALE AVE APT 3, OAKLAND, CA 94602-2142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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