Individual
JAELAN MINCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
1304 CIRRUS DR NW, ALBUQUERQUE, NM 87120-3882
(505) 715-7891
Mailing address
1304 CIRRUS DR NW, ALBUQUERQUE, NM 87120-3882
(505) 715-7891
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13655
NM
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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