Individual
MRS. VICTORIA NATALIE CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
240894 COUNTY ROAD G, SCOTTSBLUFF, NE 69361-7004
(308) 641-1146
Mailing address
240894 COUNTY ROAD G, SCOTTSBLUFF, NE 69361-7004
(308) 641-1146
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-125076
NE
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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