Organization
JUNOS PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MICHNIEWICZ (DOULA)
(219) 644-9048
Entity
Organization
Contact information
Practice address
1178 S DELAWARE ST, HOBART, IN 46342-5886
(219) 644-9048
Mailing address
1178 S DELAWARE ST, HOBART, IN 46342-5886
(219) 644-9048
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
SBD20110508
IN
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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