Individual
AMANDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
W307N1497 GOLF RD, DELAFIELD, WI 53018-2112
(262) 204-7574
Mailing address
557 N 63RD ST, WAUWATOSA, WI 53213-4173
(414) 403-4037
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
226715-30
WI
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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