Individual
JUDY ANN PERSONIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
81-1079 CAPTAIN COOK RD, CAPTAIN COOK, HI 96704-8115
(808) 333-2624
(808) 334-4138
Mailing address
81-1079 CAPTAIN COOK RD, CAPTAIN COOK, HI 96704-8115
(808) 333-2624
(808) 334-4138
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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