Individual
ILYSSA KAREN HAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, BSN
Contact information
Practice address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4333
Mailing address
655 WATKINS MILL RD, GAITHERSBURG, MD 20879-3301
(240) 632-4333
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R209600
MD
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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