Provider Demographics
NPI:1205643343
Name:HOZAK-YON, JASMINE L (PRC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:L
Last Name:HOZAK-YON
Suffix:
Gender:F
Credentials:PRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W JOHNSTONE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48649-9608
Mailing Address - Country:US
Mailing Address - Phone:989-323-9734
Mailing Address - Fax:
Practice Address - Street 1:5085 W BRISTOL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2922
Practice Address - Country:US
Practice Address - Phone:810-243-5085
Practice Address - Fax:810-243-5088
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist