Individual provider · Type 1 NPI
Jacob Milton Murdock Iv
Student in an Organized Health Care Education/Training Program · Lakeside, CA
Practice location
12064 Woodside Ave Suite 105, San Diego Center For Neurofeedback
Lakeside, CA 92040
Mailing address
1106 2nd St, Ste 308
Encinitas, CA 92024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Lakeside
About NPI 1124555461
Jacob Milton Murdock Iv's National Provider Identifier is 1124555461, issued on May 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeside, CA. The record was last updated on May 17, 2017.