Individual
IVONNE FREYRE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD RN IBCLC
Contact information
Practice address
6632 WINDING OAK DR, TAMPA, FL 33625-4944
(813) 438-9415
Mailing address
6632 WINDING OAK DR, TAMPA, FL 33625-4944
(813) 438-9415
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9169982
FL
Other
Enumeration date
08/17/2015
Last updated
10/17/2015
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