Individual
JACOB ATILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 30TH ST, SUITE 530, OAKLAND, CA 94609-3426
(510) 839-5564
(510) 839-1692
Mailing address
415 A ST. #204, DALY CITY, CA 94014-3123
(510) 839-5564
(510) 839-1692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 27010
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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