Individual
PATRICIA A HIESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
2376 MAIN ST, SUITE 3, FERNDALE, WA 98248-8605
(360) 393-8144
Mailing address
6161 GLACIER PL, FERNDALE, WA 98248-8321
(360) 393-8144
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00147691
WA
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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