Individual
MARY RACHAEL BIRKENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1222 HARBOUR DR, 303, WILMINGTON, NC 28401-7780
(614) 717-8487
Mailing address
1222 HARBOUR DR, 303, WILMINGTON, NC 28401-7780
(614) 717-8487
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
15-00038862
NC
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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