Individual
MRS. BETH MARIE EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5740 S 114TH ST, HALES CORNERS, WI 53130-1810
(414) 425-0724
Mailing address
5740 S 114TH ST, HALES CORNERS, WI 53130-1810
(414) 425-0724
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
21442-31
WI
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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