Ad Jacobs Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Martinez, CA

NPI

1689717795

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0808X

License number

244698 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-15

Last updated

2007-07-08