Jacob Milton Murdock IV

NPI #1124555461 in Lakeside, California

Provider Information

NPI Number: 1124555461
Entity Type: Individual
Name: Jacob Milton Murdock IV
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 17, 2017
Last Updated: May 17, 2017

Practice Location

Address: 12064 WOODSIDE AVE SUITE 105
Address 2: SAN DIEGO CENTER FOR NEUROFEEDBACK
City: Lakeside
State: California
ZIP Code: 92040
Phone: (619) 436-4263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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