Individual
MS. GENA KAY GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8670 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7456
(702) 425-2791
(725) 877-2701
Mailing address
8670 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7456
(702) 425-2791
(725) 877-2701
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10623419
IBCLC
—
Enumeration date
08/16/2012
Last updated
03/11/2016
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