| NPI | 1366337230 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH CONNECT CARE - LACTATION MT |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |