Individual
MRS. JEAN ANN TRETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., IBCLC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 128, COLUMBIA, MD 21044-6233
(301) 943-9293
Mailing address
99 KING ST UNIT 3183, SAINT AUGUSTINE, FL 32085-7801
(410) 262-8434
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R172278
MD
Other
Enumeration date
05/21/2018
Last updated
06/02/2019
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