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Individual

ELIZABETH GRAY SCHICHTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC, RLC

Contact information

Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN-164347
CO

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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