Organization
CRADLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MARIE REYNOLDS RN, RLC, IBCLC (OWNER)
(814) 715-2548
Entity
Organization
Contact information
Practice address
218 JEFFERSON ST, BROOKVILLE, PA 15825-1145
(814) 715-2548
Mailing address
218 JEFFERSON ST, BROOKVILLE, PA 15825-1145
(814) 715-2548
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN582429
PA
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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