Individual
KATHERINE ROSE MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.B.C.L.C.
Contact information
Practice address
108 SUMMIT LOOP, C3, CARBONDALE, CO 81623-8792
(734) 391-5547
Mailing address
108 SUMMIT LOOP, C3, CARBONDALE, CO 81623-8792
(734) 391-5547
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11295806
—
374J00000X
Doula
—
—
Other
Enumeration date
03/23/2011
Last updated
04/25/2013
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