IndividualActive
Marlin Jacob, CRTT
NPI 1417047812 · Critical Care Certified Respiratory Therapist · Hercules, CA
Provider details
- NPI number
- 1417047812
- Entity type
- Individual
- Primary specialty
- Critical Care Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRTT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041890 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
418 Grenadine Way
Hercules, CA 94547-2050
Phone: (510) 245-7585
Approximate (ZIP-level) locationGet directions
Mailing address
418 Grenadine Way
Hercules, CA 94547-2050
Registry dates
- Enumerated
- 2006-10-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.