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Individual

MS. MARILYN KAY MILESTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDM, CPM, IBCLC

Contact information

Practice address
8004 SO. 5TH ST., RIDGEFIELD, WA 98642
(503) 459-1253
(360) 887-5184
Mailing address
8004 SO. 5TH ST., RIDGEFIELD, WA 98642
(503) 459-1253
(360) 887-5184

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
11025535
WA
176B00000X
Midwife
Primary
DEM-LD-050361
OR

Other

Enumeration date
02/22/2007
Last updated
04/01/2011
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