Individual
JILLIAN DE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
2606 CHICAGO AVE, MINNEAPOLIS, MN 55407-3706
(612) 545-5311
(612) 224-9622
Mailing address
2606 CHICAGO AVE, MINNEAPOLIS, MN 55407-3706
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM07273
MN
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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