Individual
MEGHANN EILEEN DALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 KELLY RD SW, ALBUQUERQUE, NM 87105-4135
(505) 835-3660
Mailing address
2239 KELLY RD SW, ALBUQUERQUE, NM 87105-4135
(505) 835-3660
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-150197
NM
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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