Individual
MRS. STEPHANIE ILENE MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBC
Contact information
Practice address
3016 AVENUE I, BROOKLYN, NY 11210-3033
(301) 440-5663
Mailing address
3016 AVENUE I, BROOKLYN, NY 11210-3033
(301) 440-5663
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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