Individual
JEANNE PANCIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
11182 MISTY WOODS LN NW, BREMERTON, WA 98312-4511
(360) 473-6891
Mailing address
11182 MISTY WOODS LN NW, BREMERTON, WA 98312-4511
(360) 473-6891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17400000X
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMENERS
—
Enumeration date
06/25/2018
Last updated
06/25/2018
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