Individual
MRS. KATHLEEN BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
3413 RIVERCHASE PKWY, SAINT CHARLES, MO 63301-4113
(314) 922-8527
Mailing address
3413 RIVERCHASE PKWY, SAINT CHARLES, MO 63301-4113
(314) 922-8527
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
2007023548
MO
Other
Enumeration date
08/27/2017
Last updated
07/21/2022
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