Individual
JELINA IP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
(480) 704-4540
Mailing address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
(480) 704-4540
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
175F00000X
Naturopath
NT60601419
WA
207Q00000X
Family Medicine Physician
Primary
NT60601419
WA
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
09/24/2014
Last updated
11/04/2015
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