Individual
IRENE DREITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
47 MEADOW CT, RIDGWAY, CO 81432-9458
(720) 771-9740
Mailing address
PO BOX 373, RIDGWAY, CO 81432-0373
(720) 771-9740
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-127037
CO
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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