Individual
JALIEET M CANOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
726 SE 12TH AVE, CAPE CORAL, FL 33990-2917
(973) 557-8052
Mailing address
726 SE 12TH AVE, CAPE CORAL, FL 33990-2917
(973) 557-8052
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW257
LICENSED MIDWIFE
FL
Enumeration date
09/30/2012
Last updated
09/30/2012
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