Individual
MS. THAISHAH RICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 HICKS PL, NORTH BALDWIN, NY 11510-1116
(770) 940-0959
Mailing address
1178 HICKS PL, NORTH BALDWIN, NY 11510-1116
(770) 940-0959
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314161
NY
Other
Enumeration date
12/28/2023
Last updated
01/04/2024
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