Individual
KRISTIN LANDIS POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2479 PANTHER VALLEY RD, POTTSVILLE, PA 17901-8700
(570) 385-0577
Mailing address
2479 PANTHER VALLEY RD, POTTSVILLE, PA 17901-8700
(570) 385-0577
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10893163
PA
Other
Enumeration date
03/24/2012
Last updated
03/24/2012
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