Individual
MS. ELLEN ROSE OBRIEN
Active
Individual
MS. ELLEN ROSE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
332736
IA
225700000X
Massage Therapist
16467
OR
Other
Enumeration date
10/20/2010
Last updated
01/31/2023
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