Individual
JENNIFER MICHELLE CHIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
7345 INTERNATIONAL PL STE 109, LAKEWOOD RANCH, FL 34240-8468
(941) 254-2502
Mailing address
30152 TURTLE CREEK CIR, NEW HUDSON, MI 48165-0008
(248) 207-3070
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
9476132
FL
Other
Enumeration date
12/30/2017
Last updated
11/04/2024
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