SHINY JACOB

REDLANDS, CA
NPI1700638293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95028911)
Enumeration Date2024-04-05
Last Update Date2024-04-05
Business Address
SHINY JACOB
1030 NEVADA ST
REDLANDS, CA 92374-2957
Phone number: 909-553-0055
Mailing Address
SHINY JACOB
5360 CORISON WAY
FONTANA, CA 92336-5995
Phone number: 909-553-0055
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