Individual
MRS. SHANNA JESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC RLC
Contact information
Practice address
172 BROOKTONDALE RD, BROOKTONDALE, NY 14817-9513
(607) 257-4073
Mailing address
172 BROOKTONDALE RD, BROOKTONDALE, NY 14817-9513
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
NY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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