Individual
CRYSTAL WINSTEAD-HEINECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8400 S KYRENE RD, TEMPE, AZ 85284-2100
(480) 442-8491
Mailing address
413 E HARVARD AVE, GILBERT, AZ 85234-3422
(480) 442-8491
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-132313
AZ
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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