Individual
DR. CASSAUNDRA RENEA JAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LM, CPM, IBCLC
Contact information
Practice address
176 PINON TRL, CEDAR CREST, NM 87008-9457
(505) 407-4378
Mailing address
7708 LAZY LN, AUSTIN, TX 78757-1414
(808) 283-5373
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
11065708
NM
176B00000X
Midwife
10076R
NM
367A00000X
Advanced Practice Midwife
Primary
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31781349
—
NM
Enumeration date
10/18/2010
Last updated
04/16/2025
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