JACOB MURDOCK IV
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1124555461
Practice Address
12064 WOODSIDE AVE SUITE 105SAN DIEGO CENTER FOR NEUROFEEDBACK
Lakeside, CA 92040
Phone: (619) 436-4263
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1124555461 is the National Provider Identifier for JACOB MURDOCK IV, a Student in an Organized Health Care Education/Training Program provider located in Lakeside, CA. This NPI was enumerated on May 17, 2017.
JACOB MURDOCK IV practices at 12064 WOODSIDE AVE SUITE 105, SAN DIEGO CENTER FOR NEUROFEEDBACK, Lakeside, CA 92040.
Quick Facts
- NPI
- 1124555461
- Type
- Individual
- Enumerated
- May 17, 2017
- Last Updated
- May 17, 2017
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