Individual
ALICIA MARIE AVILES-COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC, ECE
Contact information
Practice address
807 TUSCARORA TRL, JACKSONVILLE, NC 28546-6402
(910) 408-2257
Mailing address
807 TUSCARORA TRL, JACKSONVILLE, NC 28546-6402
(910) 408-2257
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-100387
NC
Other
Enumeration date
01/12/2017
Last updated
02/22/2023
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