Individual
PATRICIA MARIA GONZAGA DE LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6135 98TH ST APT 4H, REGO PARK, NY 11374-1479
(347) 731-0130
Mailing address
6135 98TH ST APT 4H, REGO PARK, NY 11374-1479
(347) 731-0130
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11210477
NY
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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