Organization
LOVEBLOSSOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON A SULLIVAN IBCLC, RNC-OB (LACTATION CONSULTANT)
(907) 738-4507
Entity
Organization
Contact information
Practice address
17307 SNEE OOSH RD, LA CONNER, WA 98257-9112
(907) 738-4507
Mailing address
17307 SNEE OOSH RD, LA CONNER, WA 98257-9112
(907) 738-4507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699965392
NPI NUMBER, INDIVIDUAL
—
Enumeration date
02/10/2022
Last updated
02/10/2022
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