Individual
JESSICA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPD
Contact information
Practice address
619 BRIGHTON AVE #101, ROSEMONT WELLNESS CENTER, PORTLAND, ME 04102
(207) 558-2229
Mailing address
PO BOX 23, PORTLAND, ME 04112-0023
(207) 558-2229
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
9-201621
GA
Other
Enumeration date
04/29/2018
Last updated
06/11/2019
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