Organization
LACTATION CONSULTATION & MAINTAINING WELLNESS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CASSIDY RN, IBCLC (PRESIDENT)
(360) 292-5146
Entity
Organization
Contact information
Practice address
2120 PACIFIC AVE SE, OLYMPIA, WA 98506-4753
(360) 292-5146
(360) 252-8855
Mailing address
4026 61ST CT SW, OLYMPIA, WA 98512-7028
(360) 292-5146
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538717863
—
WA
05
—
1821538208
—
WA
05
—
1902490949
—
WA
05
—
1942860291
—
WA
Enumeration date
03/02/2021
Last updated
03/02/2021
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