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Individual

AMY BLUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
Mailing address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
68725
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-88222
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
Enumeration date
08/07/2020
Last updated
08/07/2020
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