Search › California › 183500000X
Suby Jacob
NPI 1619531233 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11438 Kenyon Way
Rancho Cucamonga, CA 91701 - Phone
- (909) 948-1065
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California