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Individual

MRS. ALEXIS RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLC

Contact information

Practice address
820 BURLAND CIR, WINTER GARDEN, FL 34787-2189
(407) 473-0786
Mailing address
35 SEAGOING TRL FL 32164, PALM COAST, FL 32164-5546
(407) 473-0786

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
315310
FL
374J00000X
Doula
SBD20110775
FL

Other

Enumeration date
07/10/2019
Last updated
09/17/2024
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