Individual
SARAH MICIURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1455 MAPLE ST, WYANDOTTE, MI 48192-5509
(734) 626-3990
Mailing address
1455 MAPLE ST, WYANDOTTE, MI 48192-5509
(734) 626-3990
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-108419
MI
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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