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Individual
JAIME SAMLUCK
Active
Individual
JAIME SAMLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-PC, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-121368
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
R206790
MD
Other
Enumeration date
07/30/2019
Last updated
01/05/2023
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