Individual
JACQUELINE KINCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC, COMC, ISE
Contact information
Practice address
4500 N 32ND ST STE 201D, PHOENIX, AZ 85018-3397
(602) 842-2863
Mailing address
4717 N 33RD PL, PHOENIX, AZ 85018-3316
(425) 985-5096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-96282
—
Other
Enumeration date
06/18/2016
Last updated
07/21/2022
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