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1972204725
SENECA ISLA ROSE
BLACK DIAMOND, WA
NPI
1972204725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: WA L-307027)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
SENECA ISLA ROSE IBCLC
32513 RAILROAD AVE
BLACK DIAMOND, WA 98010-9762
Phone number: 360-851-9896
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Mailing Address
SENECA ISLA ROSE IBCLC
PO BOX 881
BLACK DIAMOND, WA 98010
Phone number: 360-851-9896
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