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Individual

MACKENZI K SYLVESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
308 S POPLAR CT, ELLETTSVILLE, IN 47429-1000
(812) 929-3685
Mailing address
308 S POPLAR CT, ELLETTSVILLE, IN 47429-1000
(812) 929-3685

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306278
IN

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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