Individual
JILLIAN MICHELLE MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
427 RISSMAN LN, ORTONVILLE, MI 48462-8455
(248) 627-5893
Mailing address
427 RISSMAN LN, ORTONVILLE, MI 48462-8455
(248) 627-5893
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11121005
MI
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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