Individual
JAQUANA PRECIOUS MULLIGAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 JAMES PL, NEW CASTLE, DE 19720-3311
(302) 480-0898
Mailing address
203 JAMES PL, NEW CASTLE, DE 19720-3311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DE
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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