Individual
JILLENE SUE KISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD,CPD
Contact information
Practice address
902 SOUTHLAND RD, HUNTERSVILLE, NC 28078-9090
(704) 724-6137
Mailing address
902 SOUTHLAND RD, HUNTERSVILLE, NC 28078-9090
(704) 724-6137
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
26824641
NC
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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