Russell Jacobs Jr.
Russell Jacobs Jr. is a Rehabilitation Practitioner in Van Nuys, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
16650 Sherman WayVan Nuys, CA 91406-3782
Phone: (818) 901-4836
Fax: (818) 376-0044
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1609572585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2023 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
| Mailing address | 13820 Victory Blvd Apt 206, Van Nuys, CA 91401-2332 |
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