Organization
LACTATION CONSUTANT ON THE GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH STAFFORD RN, IBCLC (CEO)
(575) 233-3240
Entity
Organization
Contact information
Practice address
220 VISTA DEL REY DR, VADO, NM 88072-7236
(575) 233-3240
Mailing address
220 VISTA DEL REY DR, VADO, NM 88072-7236
(575) 233-3240
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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