Individual
LINDA JAKUBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24887 GODDARD RD, TAYLOR, MI 48180-3930
(734) 946-7200
Mailing address
5362 MERRITT RD, YPSILANTI, MI 48197-9321
(734) 330-4586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002701
MI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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