Individual
ROBIN HAYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7708 4TH ST NW, LOS RANCHOS, NM 87107-6510
(505) 924-2229
Mailing address
9418 OAKMONT RD NE, ALBUQUERQUE, NM 87111-5821
(505) 400-7193
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
55605
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55605
STATE ISSUED LICENSE
NM
Enumeration date
03/20/2019
Last updated
06/11/2019
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