Individual
HEATHER HIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 313-2377
Mailing address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-87208
WA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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