Individual
JEANETTE AUXTINEE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
2265 SUNCREST BREEZE, BERRIEN SPRINGS, MI 49103-8715
(269) 313-1371
Mailing address
2265 SUNCREST BREEZE, BERRIEN SPRINGS, MI 49103-8715
(269) 313-1371
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-15206
VA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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