Individual
JESSICA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
412 E 29TH ST, VANCOUVER, WA 98663-2706
(360) 624-5631
Mailing address
412 E 29TH ST, VANCOUVER, WA 98663-2706
(360) 624-5631
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-98396
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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