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NPI Profile for LYNANNE JACOB in BERKELEY, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
College Health |
163WC1400X |
| NPI # | 1821367160 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 12/15/2011 | |
| Last updated | 12/15/2011 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LYNANNE JACOB
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LYNANNE JACOB, RN