RUSSELL JACOBS

VAN NUYS, CA
NPI1609572585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-02-02
Last Update Date2023-02-02
Business Address
RUSSELL JACOBS
16650 SHERMAN WAY
VAN NUYS, CA 91406-3782
Phone number: 818-901-4836
Mailing Address
RUSSELL JACOBS
13820 VICTORY BLVD APT 206
VAN NUYS, CA 91401-2332
Phone number: 267-496-6041