Individual
MRS. SAMANTHA E JAKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1528 WALNUT ST STE 805, PHILA, PA 19102-3608
(267) 294-1372
Mailing address
1528 WALNUT ST STE 805, PHILA, PA 19102-3608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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