Individual
JACQUELYNN RENEE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 892-6605
Mailing address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 892-6605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/19/2008
Last updated
04/30/2025
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