Individual
ARIANNA SHAE HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(301) 531-4529
Mailing address
201 W KENYON RD, CHAMPAIGN, IL 61820-7892
(301) 531-4529
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
IL
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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