Most Relevant Information
Provider Data
| NPI Number: | 1003065194 |
| Provider Name: | NED L JACOBS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2008 |
| Last Updated: | 09/12/2008 |
Provider Practice Location
1017 TENNESSEE ST
VALLEJO
CA
945904547
Practice Location Phone/Fax
| Phone: | 7076471520 |
| Fax: |
Provider Mailing Location
2063 TSUSHIMA ST
HERCULES
CA
945475480
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |