Individual
SERENA BOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
499 W PLUMB LN STE 101, RENO, NV 89509-3778
(775) 453-4628
Mailing address
11900 OCEAN VIEW DR, SPARKS, NV 89441-5542
(406) 839-8186
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-142511
NV
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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