Individual
OLGA TIKHONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, MPH
Contact information
Practice address
48 N WILLOW ST APT 1, MONTCLAIR, NJ 07042-3502
(201) 925-5276
Mailing address
48 N WILLOW ST APT 1, MONTCLAIR, NJ 07042-3502
(201) 925-5276
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-141081
NJ
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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