Individual
ALISSE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
311 CASINO AVE, CRANFORD, NJ 07016-2310
(908) 499-3691
Mailing address
311 CASINO AVE, CRANFORD, NJ 07016-2310
(908) 499-3691
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
620972
NY
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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