Individual
MRS. JALISA L WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CHERRY ST, DOVER, DE 19904-3412
(302) 242-1580
Mailing address
130 CHERRY ST, DOVER, DE 19904-3412
(302) 242-1580
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
DE
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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