Individual
ANNE MARIE TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1541 TUSCANY CV, FARMINGTON, UT 84025-2049
(801) 694-8757
Mailing address
1541 TUSCANY CV, FARMINGTON, UT 84025-2049
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
5280082-3102
UT
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-110101
VA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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