Individual
JENY BOUHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
631 SW INDIAN KEY DR, PORT ST LUCIE, FL 34986-2076
(305) 600-6037
Mailing address
631 SW INDIAN KEY DR, PORT ST LUCIE, FL 34986-2076
(305) 600-6037
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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