Organization
FR33LOV3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DE LEON (DOULA)
(401) 280-7723
Entity
Organization
Contact information
Practice address
63 BERGEN ST, PROVIDENCE, RI 02908-4610
(401) 280-7723
Mailing address
63 BERGEN ST, PROVIDENCE, RI 02908-4610
(401) 280-7723
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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