Individual
NICOLE FARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
16 SNOWBALL CT, MOUNT LAUREL, NJ 08054-2527
(732) 239-2771
Mailing address
16 SNOWBALL CT, MOUNT LAUREL, NJ 08054-2527
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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