TATIANA ELLEN JAACKS

GOODYEAR, AZ
NPI1295622553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-06-19
Last Update Date2025-08-02
Business Address
MS. TATIANA ELLEN JAACKS PA
14455 W VAN BUREN ST # 100
GOODYEAR, AZ 85338-9209
Phone number: 248-410-4704
Mailing Address
MS. TATIANA ELLEN JAACKS PA
14455 W VAN BUREN ST # 100
GOODYEAR, AZ 85338-9209
Phone number: