Larica Fantasia Jacko
Larica Fantasia Jacko is a Case Manager/Care Coordinator in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1400 Parkmoor AveSan Jose, CA 95126-3797
Phone: (408) 637-8009
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1639684228 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2017 |
| Last updated in NPPES | December 5, 2017 |
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