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Organization

KMAK BREASTFEEDING SUPPORT SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE ELIZABETH KMAK (RN, BSN, IBCLC)
(720) 219-2994
Entity
Organization

Contact information

Practice address
7431 S IVY WAY, CENTENNIAL, CO 80112-1509
(720) 219-2994
Mailing address
7431 S IVY WAY, CENTENNIAL, CO 80112-1509
(720) 219-2994

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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