JACOB THOMAS BOLZ

LAKESIDE, CA
NPI1386025682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  52510)
Enumeration Date2015-06-11
Last Update Date2015-06-11
Business Address
-- JACOB THOMAS BOLZ PA-C
12517 LAKESHORE DR
LAKESIDE, CA 92040-3103
Phone number: 619-443-3843
Mailing Address
-- JACOB THOMAS BOLZ PA-C
12517 LAKESHORE DR
LAKESIDE, CA 92040-3103
Phone number: 619-443-3843
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