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Individual

EBONY JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
25 ALLEN STREET, MARTINEZ, CA 94553
(707) 416-3150
Mailing address
25 ALLEN ST., MARTINEZ, CA 94553
(707) 416-3150

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95334431
CA

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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