Organization
THE MAMA COACH-KARISSA MARTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA J. MARTIN RN, IBCLC (OWNER)
(970) 921-9978
Entity
Organization
Contact information
Practice address
38532 SADDLE MOUNTAIN LN, CRAWFORD, CO 81415-9128
(970) 921-9978
Mailing address
38532 SADDLE MOUNTAIN LN, CRAWFORD, CO 81415-9128
(970) 921-9978
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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