Individual
JASMIN ENCARNACION FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1436 11TH ST, WEST BABYLON, NY 11704-3619
(631) 974-9362
Mailing address
1436 11TH ST, WEST BABYLON, NY 11704-3619
(631) 974-9362
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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