Individual
KATHARINE FRESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
11 WOODLAWN RD, SPARTA, NJ 07871-2104
(201) 602-4794
Mailing address
11 WOODLAWN RD, SPARTA, NJ 07871-2104
(201) 602-4794
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-69485
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-69485
IBLCE
NJ
Enumeration date
10/30/2015
Last updated
10/30/2015
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