Individual
DR. BRENNA LYNAE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8173
(909) 558-0360
Mailing address
FILE 55799, LOS ANGELES, CA 90074-5799
(909) 558-8173
(909) 558-0360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78306
CA
Other
Enumeration date
08/05/2006
Last updated
02/13/2008
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