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Individual

MRS. MONICA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
801 POPLAR CIR, REXBURG, ID 83440-2630
(702) 336-2781
Mailing address
801 POPLAR CIR, REXBURG, ID 83440-2630
(702) 336-2781

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315052
ID

Other

Enumeration date
02/21/2026
Last updated
02/21/2026
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