Individual
JUSTINA LEE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6137 GREEN RD, HASLETT, MI 48840-9788
(517) 282-4399
Mailing address
6137 GREEN RD, HASLETT, MI 48840-9788
(517) 282-4399
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704140572
MI
163WL0100X
Lactation Consultant (Registered Nurse)
L-17999
MI
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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