Individual
MRS. MARILYN THERESE HILDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, ICCE, CD
Contact information
Practice address
4026 WILLOW LN, BROOKINGS, SD 57006-7016
(605) 691-5808
Mailing address
4026 WILLOW LN, BROOKINGS, SD 57006-7016
(605) 691-5808
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
108-56381
SD
174H00000X
Health Educator
18011
SD
374J00000X
Doula
03936
SD
Other
Enumeration date
12/13/2009
Last updated
12/30/2009
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