Individual
JENIFER BLAXALL BUICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCE
Contact information
Practice address
123 FORT GREENE PL APT 4, BROOKLYN, NY 11217-3490
(917) 543-4736
Mailing address
123 FORT GREENE PL APT 4, BROOKLYN, NY 11217-3490
(917) 543-4736
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/08/2010
Last updated
10/17/2022
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