Individual
MRS. JESSICA ANNE DILAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLC, IBCLC
Contact information
Practice address
4640 MEADOW CIR, AVON, NY 14414-1316
(585) 260-4087
Mailing address
4640 MEADOW CIR, AVON, NY 14414-1316
(585) 260-4087
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
823035
NY
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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