Individual
JENNIFER E FANTASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, CLC
Contact information
Practice address
37 DOUGLAS CIR, GREENVILLE, RI 02828-1927
(401) 524-7562
Mailing address
4 W CARPENTER ST, PAWTUCKET, RI 02860-1743
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
01/24/2022
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