Organization
PURE MILK MOM
Active
Organization
PURE MILK MOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE NORTON MHI, RDN, IBCLC (PRESIDENT, FOUNDER)
(480) 416-7295
Entity
Organization
Contact information
Practice address
20526 N 94TH PL, SCOTTSDALE, AZ 85255-6634
(701) 446-8439
Mailing address
20526 N 94TH PL, SCOTTSDALE, AZ 85255-6634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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