Individual
DANIELLE M WIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
4957 S CATHERINE ST APT B, PLATTSBURGH, NY 12901-3668
(315) 806-6796
Mailing address
4957 S CATHERINE ST APT B, PLATTSBURGH, NY 12901-3668
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
317438
NY
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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