| NPI | 1528778198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN DUCKLES Owner/Provider 856-942-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |