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Individual

DANIELLE M BAEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
33 GUILD RD, WORCESTER, MA 01602-1422
(508) 304-8171
Mailing address
33 GUILD RD, WORCESTER, MA 01602-1422
(508) 304-8171

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17693
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-17693
IBCLC
MA
Enumeration date
02/08/2018
Last updated
02/08/2018
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