Individual
MRS. CARISA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2960 BRUNER AVE, BRONX, NY 10469-3332
(347) 740-0765
Mailing address
2960 BRUNER AVE, BRONX, NY 10469-3332
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L306504
NY
Other
Enumeration date
02/23/2022
Last updated
02/28/2022
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