Organization
MILKED LACTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL ANASTASIO COLLINS RN, IBCLC (OWNER)
(703) 402-9518
Entity
Organization
Contact information
Practice address
2818 CAMERON COMMONS WAY, MATTHEWS, NC 28104-1171
(704) 291-8008
Mailing address
2818 CAMERON COMMONS WAY, MATTHEWS, NC 28104-1171
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-56471
NC
174N00000X
Lactation Consultant (Non-RN)
L-56471
NC
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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