Individual
JAQUELYN M MYSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
2413 17TH AVE NW, ROCHESTER, MN 55901-7785
(507) 884-9424
Mailing address
2413 17TH AVE NW, ROCHESTER, MN 55901-7785
(507) 884-9424
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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