Individual
HANNAH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6035 W TRANSIT ST, FAYETTEVILLE, AR 72704-5097
(479) 485-1215
Mailing address
13805 DEGRAFF RD, ROGERS, AR 72756-8866
(479) 531-0135
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-316689
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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