Individual
ANNA BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8742
Mailing address
PO BOX 649, CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8742
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
791263
TX
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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