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Individual

HEATHER UCCELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
119 PINE BROOK RD, MONTVILLE, NJ 07045-9639
(973) 900-7299
Mailing address
119 PINE BROOK RD, MONTVILLE, NJ 07045-9639
(973) 900-7299

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
26NO11478200
NJ

Other

Enumeration date
01/11/2014
Last updated
01/11/2014
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