Individual
ZULLY SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
12 BARNUM CT, BETHEL, CT 06801-8001
(475) 329-5567
Mailing address
12 BARNUM CT, BETHEL, CT 06801-8001
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
333696
CT
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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