Individual
NATASHA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.B.C.L.C.
Contact information
Practice address
4851 SCOTTSDALE RD, HOUSE SPRINGS, MO 63051-2107
(314) 471-8041
Mailing address
4851 SCOTTSDALE RD, HOUSE SPRINGS, MO 63051-2107
(314) 471-8041
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11183258
MO
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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