Individual
HOLLY BREANNE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
608 SW 150TH ST, OKLAHOMA CITY, OK 73170-7531
(405) 289-8891
Mailing address
608 SW 150TH ST, OKLAHOMA CITY, OK 73170-7531
(405) 289-8891
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302143
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-302143
IBCLC CERT
OK
Enumeration date
09/12/2022
Last updated
09/12/2022
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