Individual
LINDA S GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2890 NIAGARA FALLS BLVD, NORTH TONAWANDA, NY 14120-1114
(716) 807-7337
Mailing address
1323 104TH ST, NIAGARA FALLS, NY 14304-2923
(716) 297-1194
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17105
NY
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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