Individual
MRS. MARY JOLENE KAUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
28 PERROTTI LN, PALM COAST, FL 32164-7453
(386) 383-7949
Mailing address
28 PERROTTI LN, PALM COAST, FL 32164-7453
(386) 383-7949
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-23384
FL
Other
Enumeration date
01/24/2014
Last updated
12/08/2023
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