Individual
CASSANDRA STOCKWELL-SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC
Contact information
Practice address
116 WALNUT AVE APT 1, ARDMORE, PA 19003-2133
(619) 569-7981
Mailing address
116 WALNUT AVE APT 1, ARDMORE, PA 19003-2133
(619) 569-7981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305901
—
Other
Enumeration date
07/22/2019
Last updated
11/08/2022
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