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Mr. Jacob Otis
Student in an Organized Health Care Education/Training Program in San Francisco, California
NPI 1245697952

Jacob Otis is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. Jacob Otis practices in San Francisco, CA. The NPI Number for Jacob Otis is 1245697952 and holds a License No. (California).

The current practice location address for Jacob Otis is 1765 Pacific Ave Apt 5, San Francisco, CA and can be reached out via phone at 714-418-8264.

Location: 1765 Pacific Ave Apt 5, San Francisco, CA, 94109-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245697952
Provider Name
Jacob Otis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1765 Pacific Ave Apt 5, San Francisco, CA, 94109-2441
Phone Number
714-418-8264
Fax Number
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1765 Pacific Ave Apt 5
City
San Francisco
State
California
Zip
94109-2441
Phone Number
714-418-8264
Fax Number
person
Provider Business Mailing Address Details
Address
1765 Pacific Ave Apt 5
City
San Francisco
State
California
Zip
94109-2441
Phone Number
714-418-8264
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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