Individual
MICHELE MORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
645 S LA MIRADA DR, CORNVILLE, AZ 86325-5095
(928) 301-2521
Mailing address
645 S LA MIRADA DR, CORNVILLE, AZ 86325-5095
(928) 301-2521
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
230424
AZ
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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