Individual
SUZANNE W ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
30 MCLAUGHLIN LN, SANDIA PARK, NM 87047-6802
(505) 306-1091
Mailing address
30 MCLAUGHLIN LN, SANDIA PARK, NM 87047-6802
(505) 306-1091
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-10364
NM
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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