Individual
JOLANTA JEDRZKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 2ND AVE APT 4, SALT LAKE CITY, UT 84103-5623
(203) 848-4179
Mailing address
JAGIELLONSKA 239 ST, MILOWKA, SLASK 34360
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8414833-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
03/30/2011
Last updated
12/14/2021
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