Individual
JENNIFER MAKUAKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1416 W STATE RD, PLEASANT GROVE, UT 84062-5015
(385) 202-3278
Mailing address
11026 N 5730 W, HIGHLAND, UT 84003-9425
(385) 202-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
369906-1206
UT
Other
Enumeration date
05/06/2019
Last updated
04/14/2026
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