Individual
ALYSSA MIERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3129 ELM DR, ALLENTOWN, PA 18103-3625
16095585586
Mailing address
3129 ELM DR, ALLENTOWN, PA 18103-3625
16095585586
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP227787
PA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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