Individual
MRS. BRIELLE LYNN PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
74 ELLISDALE RD, ALLENTOWN, NJ 08501-1508
(609) 218-0892
Mailing address
74 ELLISDALE RD, ALLENTOWN, NJ 08501-1508
(609) 218-0892
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
237865
PA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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