Provider Demographics
NPI:1265915425
Name:JACOLBIA, RONALD JOSEPH FAIGAO (NP)
Entity type:Individual
Prefix:MR
First Name:RONALD JOSEPH
Middle Name:FAIGAO
Last Name:JACOLBIA
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:1 SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-5200
Mailing Address - Country:US
Mailing Address - Phone:530-752-1035
Mailing Address - Fax:530-754-5842
Practice Address - Street 1:1 SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-5200
Practice Address - Country:US
Practice Address - Phone:530-752-6475
Practice Address - Fax:530-754-5842
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2022-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95009966363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care