Individual
BROOKE AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC
Contact information
Practice address
33 KATHMERE RD, HAVERTOWN, PA 19083-3809
(805) 709-1133
Mailing address
33 KATHMERE RD, HAVERTOWN, PA 19083-3809
(805) 709-1133
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-83692
PA
Other
Enumeration date
11/03/2015
Last updated
12/27/2024
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