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Individual

DR. CASSAUNDRA RENEA JAH

Active
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Individual

DR. CASSAUNDRA RENEA JAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LM, CPM, IBCLC

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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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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