Individual
JACOB KENNETH ROWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Mailing address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-TRYGDU
CA
Other
Enumeration date
06/12/2023
Last updated
09/21/2023
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