MICHELLE LAVERNE JACOBS

ROSEVILLE, CA
NPI1356747687
Former NameMICHELLE LAVERNE MOORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  95000824)
Enumeration Date2014-11-13
Last Update Date2022-09-21
Business Address
MICHELLE LAVERNE JACOBS NP
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661-3776
Phone number: 916-782-5511
Mailing Address
MICHELLE LAVERNE JACOBS NP
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA 95661-3776
Phone number: 916-612-3034
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