Most Relevant Information
Provider Data
| NPI Number: | 1003645920 |
| Provider Name: | LUIS ALEJANDRO JACOBO MS, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2000053928 |
Most Important Dates
| Enumeration Date: | 07/30/2024 |
| Last Updated: | 07/30/2024 |
Provider Practice Location
6385 PACIFIC AVE
STOCKTON
CA
952073713
Practice Location Phone/Fax
| Phone: | 2094779300 |
| Fax: |
Provider Mailing Location
3616 JENNY LIND AVE
NORTH HIGHLANDS
CA
956605610
Provider Mailing Phone/Fax
| Phone: | 9162084144 |
| Fax: |