Individual
MICHELLE LETTICIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
, DOULA
Contact information
Practice address
1865 SW BREEZEWAY ST, PORT SAINT LUCIE, FL 34987-2058
(772) 340-6241
Mailing address
1865 SW BREEZEWAY ST, PORT SAINT LUCIE, FL 34987-2058
(772) 340-6241
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
202304130
FL
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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