Individual
JESSICA DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
81 KENWOOD AVE, GLENMONT, NY 12077-4901
(518) 928-3546
Mailing address
81 KENWOOD AVE, GLENMONT, NY 12077-4901
(518) 928-3546
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
544717
NY
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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