Individual
MRS. DANETTE RACHELLE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
6010 CARNEGIE BLVD, CHARLOTTE, NC 28209-4637
(704) 384-9966
Mailing address
3614 COLE MILL RD, CHARLOTTE, NC 28270-1120
(704) 608-8915
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10912881
NC
Other
Enumeration date
06/04/2013
Last updated
07/13/2022
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