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Blanca R Jacobo
Orthotic Fitter in Ontario, California
NPI 1750579520

Blanca R Jacobo is a Orthotic Fitter based in Ontario, CA. Blanca R Jacobo practices in Ontario, CA. The NPI Number for Blanca R Jacobo is 1750579520 and holds a License No. (California).

The current practice location address for Blanca R Jacobo is 3602 Inland Empire Blvd Ste C130, Ontario, CA and can be reached out via phone at 909-484-5700.

Location: 3602 Inland Empire Blvd Ste C130, Ontario, CA, 91764-4942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750579520
Provider Name
Blanca R Jacobo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3602 Inland Empire Blvd Ste C130, Ontario, CA, 91764-4942
Phone Number
909-484-5700
Fax Number
Provider Enumeration Date
10/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3602 Inland Empire Blvd Ste C130
City
Ontario
State
California
Zip
91764-4942
Phone Number
909-484-5700
Fax Number
person
Provider Business Mailing Address Details
Address
3602 Inland Empire Blvd Ste C130
City
Ontario
State
California
Zip
91764-4942
Phone Number
909-484-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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