JACOB LISCANO

TUSTIN, CA
NPI1487510681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95037065)
Enumeration Date2025-12-31
Last Update Date2025-12-31
Business Address
JACOB LISCANO
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
Mailing Address
JACOB LISCANO
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number:
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