Jake Lanre Osborne

NPI #1487484242 in Seaside, California

Provider Information

NPI Number: 1487484242
Entity Type: Individual
Name: Jake Lanre Osborne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 6, 2024
Last Updated: Aug 6, 2024

Practice Location

Address: 1069 BROADWAY AVE
City: Seaside
State: California
ZIP Code: 93955-4996
Phone: (831) 392-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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