Individual
MS. JACQUELYN A THOMPSON CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
300 PIERMONT AVE APT 3G, NYACK, NY 10960-4654
(551) 497-3488
Mailing address
300 PIERMONT AVE APT 3G, NYACK, NY 10960-4654
(551) 497-3488
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0771643
—
NJ
Enumeration date
04/18/2013
Last updated
12/28/2022
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