Individual
ALICIA JAKOBCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4228 S FULTON PL, ROYAL OAK, MI 48073-6358
(248) 554-0279
Mailing address
4228 SOUTH FULTON PLACE, ROYAL OAK, MI 48073
(248) 554-0279
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
J212048585172
MI
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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