Individual
CHELSEA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
109 PHEASANT RISE CT, BRIDGEVILLE, PA 15017-1523
(724) 986-7805
Mailing address
109 PHEASANT RISE CT, BRIDGEVILLE, PA 15017-1523
(724) 986-7805
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302515
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-302515
IBLCE
—
Enumeration date
01/08/2021
Last updated
01/08/2021
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