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Individual

MRS. KIMBERLY A JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
4079 E DAKOTA DR, EAGLE MOUNTAIN, UT 84005-6189
(801) 652-9071
Mailing address
4079 E DAKOTA DR, EAGLE MOUNTAIN, UT 84005-6189
(801) 652-9071

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306904
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-306904
IBCLC
UT
Enumeration date
11/04/2022
Last updated
11/04/2022
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