Individual
MRS. JENNIFER MASSOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
56 BROAD STREET, HOUSTON, DE 19954
(302) 222-8251
Mailing address
56 BROAD ST, HOUSTON, DE 19954-2001
(302) 222-8251
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11285831
DE
163WL0100X
Lactation Consultant (Registered Nurse)
L1-0030542
DE
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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