Individual
JA'LILA NEWBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 256-8109
Mailing address
1051 PORTAGE AVE, SOUTH BEND, IN 46616-1417
(574) 256-8109
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
IN
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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