MR. Benedict Jovellano Jacob
NPI #1841594942 in Imperial Beach, California
Provider Information
- NPI Number
- 1841594942
- Entity Type
- Individual
- Name
- MR. Benedict Jovellano Jacob
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Jan 4, 2011
- Last Updated
- Jan 4, 2011
Practice Location
- Address
- 1 HOOPER BLVD
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-1050
- Phone
- (619) 628-8447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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