Individual
JENNIFER DESHAIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8235 SIXTY RD, BALDWINSVILLE, NY 13027-1215
(315) 263-7558
Mailing address
8235 SIXTY RD, BALDWINSVILLE, NY 13027-1215
(315) 263-7558
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-60471
NY
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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