Individual
KIMBERLY ANN GUCCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
31 SUNNYDALE DR, BRICK, NJ 08723-7307
(732) 267-9247
Mailing address
31 SUNNYDALE DR, BRICK, NJ 08723-7307
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
348268
MA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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