Individual
JESSICA PHEGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 RISDON TRL S, SALINE, MI 48176-2801
(260) 466-1002
Mailing address
774 RISDON TRL S, SALINE, MI 48176-2801
(260) 466-1002
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704406464
MI
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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