Individual
XANDI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
11105 MESA CT, KLAMATH FALLS, OR 97601-9306
(208) 409-5547
Mailing address
11105 MESA CT, KLAMATH FALLS, OR 97601-9306
(208) 409-5547
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-312859
—
Other
Enumeration date
02/01/2024
Last updated
03/19/2024
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