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Individual

REBECCA JEAN WEIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, IBCLC

Contact information

Practice address
3526 AMAZONAS DR, JEFFERSON CITY, MO 65109-5716
(573) 673-5033
Mailing address
5104 MOREAU RIDGE RD, JEFFERSON CITY, MO 65109-9108
(573) 694-8498

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-67263
MO

Other

Enumeration date
09/26/2023
Last updated
09/26/2023
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