Individual
KAITLYN ALBERT ZOELLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 CAPTAINS WAY, PHILADELPHIA, PA 19146-5244
(203) 982-5018
Mailing address
710 CAPTAINS WAY, PHILADELPHIA, PA 19146-5244
(203) 982-5018
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN705660
PA
Other
Enumeration date
04/18/2020
Last updated
08/25/2020
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