Individual
JESSICA MAUREEN FRECHETTE-GUTFREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
705 LA JOYA ST STE A, ESPANOLA, NM 87532-2233
(505) 508-7209
Mailing address
PO BOX 157, ESPANOLA, NM 87532-0157
(505) 508-7209
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
09065R
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56859023
—
NM
Enumeration date
02/08/2010
Last updated
05/12/2016
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