Individual
MRS. ALYSSA DENISE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2744 MILLWOOD AVE, COLUMBIA, SC 29205-1221
(803) 879-5998
Mailing address
668 CARRIAGE LAKE DR, LEXINGTON, SC 29072-7513
(803) 528-6534
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-135187
SC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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