| Jennifer Makuakane, PA-C | |
|
3355 S State St Ste B, South Salt Lake, UT 84115-4526 | |
| (801) 396-2075 | |
| Not Available |
| Full Name | Jennifer Makuakane |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3355 S State St Ste B, South Salt Lake, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225693229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 369906-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Makuakane, PA-C 3355 S State St Ste B, South Salt Lake, UT 84115-4526 Ph: (801) 396-2075 | Jennifer Makuakane, PA-C 3355 S State St Ste B, South Salt Lake, UT 84115-4526 Ph: (801) 396-2075 |
Anna I Mair, C-PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3690 S Main St, South Salt Lake, UT 84115 Phone: 801-587-2525 Fax: 801-261-0503 | |
Jacob Stout, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2472 S 300 E, South Salt Lake, UT 84115 Phone: 801-783-5011 |