Individual
WENDY SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC, RLC
Contact information
Practice address
1225 EAST MARKET STREET, YORK, PA 17403
(717) 845-9639
Mailing address
1225 EAST MARKET STREET, YORK, PA 17403
(717) 845-9639
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10218720
PA
163WL0100X
Lactation Consultant (Registered Nurse)
RN336223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232429785
IRS
PA
Enumeration date
08/31/2012
Last updated
08/31/2012
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