Individual
PAM S MAZZELLA DIBOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
11800 SW 44 ST, DAVIE, FL 33330
(954) 274-5386
Mailing address
11800 SW 44 ST, DAVIE, FL 33330
(954) 274-5386
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
11/20/2012
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