Individual
JADAIMAN DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9834 TICE RD, EDEN, NY 14057-9547
(716) 200-8824
Mailing address
9834 TICE RD, EDEN, NY 14057-9547
(716) 200-8824
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
01/20/2025
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