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NPI Code Detail

MEDICARE: JESSICA ESTELLA MASK

MEDICARE: JESSICA ESTELLA MASK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1326980087
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ESTELLA MASK
Provider Business Mailing Address
First Line : 704 N RODNEY ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-3129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 704 N RODNEY ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-3129
Country : US
Telephone Number : 302-513-0995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ JESSICA ESTELLA MASK ” Practice Location

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