Individual
MS. BRANDY J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
200 W FRONT ST, BLOOMINGTON, IL 61701-5048
(309) 888-5971
Mailing address
200 W FRONT ST, BLOOMINGTON, IL 61701-5048
(309) 888-5971
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11128253
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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