Individual
JENILEE JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
200 BANNING ST STE 320, DOVER, DE 19904-3488
(302) 674-0223
Mailing address
200 BANNING ST STE 320, DOVER, DE 19904-3488
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
LK-0010223
DE
Other
Enumeration date
06/20/2023
Last updated
05/02/2024
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