Individual
KRISTIN MARIE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2113 HIGHLAND RIDGE DR, PHOENIX, MD 21131-1217
(410) 443-0022
Mailing address
3 WINDSOR CT, FARMINGTON, CT 06032-1458
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
085071
CT
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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