Individual
AILEEN G JAKAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 C ST, BLDG 990, YUMA, AZ 85365-9498
(928) 328-2666
Mailing address
301 C ST, BLDG 990, YUMA, AZ 85365-9498
(928) 328-2666
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
57554
OK
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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