Individual
AMANDA JANZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1525 RURAL ST, EMPORIA, KS 66801-5545
(620) 222-8514
Mailing address
1525 RURAL ST, EMPORIA, KS 66801-5545
(620) 222-8514
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-108233
KS
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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