Organization
NASTASSIA K. ENTERPRISES
Active
Other names
Latch Breastfeeding and Lactation Services
Organization subpart
No
Provider details
NPI number
Authorized official
NASTASSIA K DAVIS MSN, RNC, IBCLC (OWNER/IBCLC)
(973) 488-7975
Entity
Organization
Contact information
Practice address
485 PARK AVE, ORANGE, NJ 07050-1721
(973) 488-7975
Mailing address
36 RANDOLPH PL, WEST ORANGE, NJ 07052-4808
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NR1590800
NJ
163WM0102X
Maternal Newborn Registered Nurse
26NR1590800
NJ
Other
Enumeration date
09/09/2017
Last updated
06/11/2019
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