Individual
RHEGAN RIANE DERFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3865 BARRACO DR, SIERRA VISTA, AZ 85650-4211
(520) 508-0021
Mailing address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-154093
AZ
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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