Individual
CATHERINE MARY FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
526 NW 196TH PL, SHORELINE, WA 98177-2544
(206) 920-3084
Mailing address
526 NW 196TH PL, SHORELINE, WA 98177-2544
(206) 920-3084
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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