Individual
TINA ELIZABETH SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
600 E STATE ST, EAGLE, ID 83616-6081
(208) 912-5682
Mailing address
PO BOX 2681, EAGLE, ID 83616-9122
(208) 912-5682
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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