Individual
MS. STEPHANIE AMBER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
623 ETHEL ST, BRAINERD, MN 56401-5902
(218) 371-0534
Mailing address
623 ETHEL ST, BRAINERD, MN 56401-5902
(218) 371-0534
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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