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Individual

KELLY SUSANNE HILLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
2667 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3733
(858) 204-8518
Mailing address
232 GLEN ARBOR DR, ENCINITAS, CA 92024-4319
(858) 204-8518

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
732151
CA
163WL0100X
Lactation Consultant (Registered Nurse)
L-305210
CA

Other

Enumeration date
02/12/2024
Last updated
02/29/2024
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