Organization
LACTATION CONSUTANT ON THE GO LLC
Active
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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