Individual
MISS JACQUELINE MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33722 BROKAW RD, COLUMBIA STATION, OH 44028-9778
(440) 623-2155
Mailing address
33722 BROKAW RD, COLUMBIA STATION, OH 44028-9778
(440) 623-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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