SAMANTHA ROSE JACOT

SAN LUIS OBISPO, CA
NPI1902380884
Former NameSAMANTHA ROSE LIBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95009921)
Enumeration Date2018-09-18
Last Update Date2023-11-02
Business Address
SAMANTHA ROSE JACOT FNP
1941 JOHNSON AVE STE 301
SAN LUIS OBISPO, CA 93401-4175
Phone number: 805-786-4111
Mailing Address
SAMANTHA ROSE JACOT FNP
1941 JOHNSON AVE STE 301
SAN LUIS OBISPO, CA 93401-4175
Phone number: 805-786-4111