Individual
ANNALISA BALL BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
764 W 180 S, SPANISH FORK, UT 84660-4628
(801) 368-1914
Mailing address
764 W 180 S, SPANISH FORK, UT 84660-4628
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
7976366-3102
UT
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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