JACOB DYLAN LUKE

PLACERVILLE, CA
NPI1114780764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
(Licence: CA  95345401)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
JACOB DYLAN LUKE Rn
935B SPRING ST
PLACERVILLE, CA 95667-4523
Phone number: 530-621-6213
Mailing Address
JACOB DYLAN LUKE Rn
1891 CEDAR OAK RD
PLACERVILLE, CA 95667-7883
Phone number:
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