Individual
MR. JACOB HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14997 MUSTANG LN, FONTANA, CA 92336-0171
(909) 269-6555
Mailing address
PO BOX 1477, VICTORVILLE, CA 92393-1477
(760) 243-3999
(760) 256-0537
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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