Individual
RANDI VERONICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1001 COLORADO ST, WALKERTON, IN 46574-1086
(574) 386-6394
Mailing address
10275 PEOTONE DR, GRANGER, IN 46530-7744
(574) 386-6394
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302748
IN
Other
Enumeration date
08/02/2021
Last updated
05/31/2023
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