Individual
MARTHA ANN SURONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
15312 NE 90TH ST, VANCOUVER, WA 98682-3597
(360) 721-0252
Mailing address
15312 NE 90TH ST, VANCOUVER, WA 98682-3597
(360) 721-0252
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/29/2010
Last updated
10/06/2011
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