NPI 1124386495

Jacobs Medical Supply,llc

Organisation Durable Medical Equipment & Medical Supplies Elk Grove, CA

Practice location

Address: 8213 Crichton Way, Elk Grove, CA 95758-8028
Phone: (916) 647-4193
Fax: (916) 896-5115

Authorised official

Name: Jerry Valera Neria
Title: President
Phone: (916) 647-4193

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 201013710108 (CA)

Other Durable Medical Equipment & Medical Supplies providers in California →

Registry record

NPI: 1124386495
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.