Organization
STAYING ABREAST LACTATION TEAM LLC
Active
Organization
STAYING ABREAST LACTATION TEAM LLC
Active
Other names
The SALT Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE E HALLING BSN, RN, IBCLC (LACTATION CONSULTANT)
(816) 294-5001
Entity
Organization
Contact information
Practice address
12320 SE STATE ROUTE A, SAINT JOSEPH, MO 64507-7413
(816) 294-5001
Mailing address
12320 SE STATE ROUTE A, SAINT JOSEPH, MO 64507-7413
(816) 294-5001
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-66864
MO
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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