Individual
MRS. STACI GALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
114 WYNBROOK WAY, BOILING SPRINGS, SC 29316-5163
(864) 491-0200
Mailing address
114 WYNBROOK WAY, BOILING SPRINGS, SC 29316-5163
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307741
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-307741
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
SC
Enumeration date
07/11/2022
Last updated
07/11/2022
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