Individual
KATRINA ROBERTSON GALLAFENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8601 W EMERALD ST, BOISE, ID 83704-4810
(208) 991-4488
Mailing address
2831 E PARKRIVER DR, BOISE, ID 83706-6085
(208) 440-9395
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
313298
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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