Individual
LISA JUCKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 48TH ST, DES MOINES, IA 50310-1946
(515) 201-4590
Mailing address
1608 48TH ST, DES MOINES, IA 50310-1946
(515) 201-4590
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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