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Individual

JENNIFER L CARRASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLC , CD

Contact information

Practice address
1341 COLUMBIA AVE, ALAMOGORDO, NM 88310-8012
(575) 404-1717
(575) 404-1717
Mailing address
1341 COLUMBIA AVE, ALAMOGORDO, NM 88310-8012
(575) 404-1717

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
ALPP-258224
MA
374J00000X
Doula
Primary
NM

Other

Enumeration date
06/06/2017
Last updated
06/11/2019
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