Individual
NANCY LILLIAN MUZTAFAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
15 LONG AVE, LATHAM, NY 12110-5415
(518) 421-8530
Mailing address
15 LONG AVE, LATHAM, NY 12110-5415
(518) 421-8530
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
450853-01
NY
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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