Organization
HEATHER MARIE LACTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARIE THEUT-JABLONOWSKI (OWNER)
(248) 587-8634
Entity
Organization
Contact information
Practice address
1246 WEST BLVD, BERKLEY, MI 48072-2080
(248) 587-8634
Mailing address
1246 WEST BLVD, BERKLEY, MI 48072-2080
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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