Individual
MS. JOY MACTAVISH-UNTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, ICCE, CD, PCD
Contact information
Practice address
1902 N 145TH ST, SHORELINE, WA 98133-6606
(206) 225-8295
Mailing address
1902 N 145TH ST, SHORELINE, WA 98133-6606
(206) 225-8295
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/14/2011
Last updated
01/27/2014
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