Organization
BABY TO BREAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN BOLTON RN, IBCLC (LACTATION CONSULTANT)
(253) 230-1512
Entity
Organization
Contact information
Practice address
1538 12TH LANE FI, FOX ISLAND, WA 98333-9664
(253) 514-8411
(253) 514-8299
Mailing address
1538 12TH LANE FI, FOX ISLAND, WA 98333-9664
(253) 514-8411
(253) 514-8299
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
88044
WA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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