JENASEE LORETTA SOUTH

SURPRISE, AZ
NPI1003679846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
JENASEE LORETTA SOUTH
14961 W BELL RD STE 175
SURPRISE, AZ 85374-3220
Phone number: 623-547-7205
Mailing Address
JENASEE LORETTA SOUTH
312 DEON LN
IDAHO FALLS, ID 83401-6466
Phone number: 208-201-2256