Most Relevant Information
Provider Data
| NPI Number: | 1003246323 |
| Provider Name: | DEVONNA JACOBS |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/22/2013 |
| Last Updated: | 09/11/2019 |
Provider Practice Location
3081 TEAGARDEN ST
SAN LEANDRO
CA
945775720
Practice Location Phone/Fax
| Phone: | 5103474620 |
| Fax: |
Provider Mailing Location
3081 TEAGARDEN ST
SAN LEANDRO
CA
945775720
Provider Mailing Phone/Fax
| Phone: | 5103474620 |
| Fax: |