Individual
BETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC, RLC
Contact information
Practice address
2958 HANOVER DR, LIMA, OH 45805-2926
(419) 234-3929
Mailing address
2958 HANOVER DR, LIMA, OH 45805-2926
(419) 234-3929
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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