Individual
ALICIA S FONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC, LCCE
Contact information
Practice address
1707 S 1ST AVE, SIOUX FALLS, SD 57105-1905
(605) 553-8364
Mailing address
1707 S 1ST AVE, SIOUX FALLS, SD 57105-1905
(605) 553-8364
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R029824
SD
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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