Individual
ERICA L CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
231 N 5TH ST, MACCLENNY, FL 32063-2005
(315) 360-8882
Mailing address
231 N 5TH ST, MACCLENNY, FL 32063-2005
(315) 360-8882
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
FL
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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