Individual
JILLIAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
122 MANOR AVE, COHOES, NY 12047-1605
(585) 690-4997
Mailing address
122 MANOR AVE, COHOES, NY 12047-1605
(585) 690-4997
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
611736-1
NY
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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