Individual
MRS. RACHEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
14105 SHAW DR, HUNTERSVILLE, NC 28078-0625
(661) 993-2880
Mailing address
14105 SHAW DR, HUNTERSVILLE, NC 28078-0625
(661) 993-2880
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-143877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
NC
Enumeration date
01/25/2022
Last updated
01/25/2022
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