Individual
JENNIFER DANIELLE SQUAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-3209
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 475-3209
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP61066238
WA
Other
Enumeration date
03/06/2019
Last updated
05/15/2023
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