SUSAN JACOB

LOMA LINDA, CA
NPI1306959713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  58262)
Additional Taxonomies183500000X Pharmacist
(Licence: PA  RP440407)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- SUSAN JACOB Pharm.D.
11201 BENTON ST (119)
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- SUSAN JACOB Pharm.D.
920 VIA CARTAGO #69
RIVERSIDE, CA 92507-0211
Phone number: