Individual
PATRICIA LOUISE JAKUBEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13226 MOBY DICK DR W, JACKSONVILLE, FL 32218-2891
(904) 614-2709
Mailing address
13226 MOBY DICK DR W, JACKSONVILLE, FL 32218-2891
(904) 614-2709
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH17696
FL
133V00000X
Registered Dietitian
Primary
ND9674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH17696
REGISTERED DENTAL HYGIENIST
FL
Enumeration date
05/22/2008
Last updated
02/26/2020
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