Individual
MRS. BRANDI MICHELLE CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
202 N BOGART AVE, GRANITE FALLS, WA 98252-8406
(425) 327-7491
Mailing address
202 N BOGART AVE, GRANITE FALLS, WA 98252-8406
(425) 327-7491
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-58067
WA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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