Individual
MRS. LONI JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
2000 CIRCLE OF HOPE DR, RM 3360, SALT LAKE CITY, UT 84112-5550
(801) 213-4208
(801) 585-0101
Mailing address
2000 CIRCLE OF HOPE DR, RM 3360, SALT LAKE CITY, UT 84112-5550
(801) 213-4208
(801) 585-0101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012024
NY
363AM0700X
Medical Physician Assistant
7892402
UT
Other
Enumeration date
12/31/2007
Last updated
04/08/2011
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