Individual
AVIVA LEVY FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
200 LAS MANANITAS ST, SANTA FE, NM 87501-1546
(505) 919-9626
Mailing address
200 LAS MANANITAS ST, SANTA FE, NM 87501-1546
(505) 919-9626
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10964013
NM
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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