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Individual

ELIZABETH SORIANO-CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
545 NAVIGATION ST, BEAVER, PA 15009-1809
(714) 868-6646
Mailing address
841 23RD ST # 41, ALIQUIPPA, PA 15001-2784
(714) 868-6646

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN716127
PA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-48664
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L-48664
HTTPS://WWW.IBCLE.ORG
VA
Enumeration date
12/09/2021
Last updated
12/09/2021
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