Individual
JACI LEE MCCASKELL KULISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
667 HAMPTON DR E, MOORHEAD, MN 56560-6779
(218) 329-6584
Mailing address
667 HAMPTON DR E, MOORHEAD, MN 56560-6779
(218) 329-6584
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302155
—
Other
Enumeration date
04/19/2021
Last updated
03/15/2023
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