Individual
GISSELLE YOHANNA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W MILTON ST, HYDE PARK, MA 02136-1929
(857) 204-8023
Mailing address
75 W MILTON ST, HYDE PARK, MA 02136-1929
(857) 204-8023
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
S21583734
MA
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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