Individual
MARY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
682 FISKE RD, BARTON, VT 05822-9395
(802) 355-0706
Mailing address
682 FISKE RD, BARTON, VT 05822-9395
(802) 355-0706
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
026.0017291
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-85063
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
10/26/2016
Last updated
10/26/2016
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