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Ashanti Genee Jacobs

Community Health Worker in Anaheim, CA. Individual provider (NPI-1).

NPI number1407338643
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1407338643
Entity type
Individual (NPI-1)
Name
Ashanti Genee Jacobs
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2018
Certification date
Apr 21, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–CAYes

Practice location

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Phone 800-249-4961

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Phone 800-249-4961

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