Individual
JOANNE SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SUTTON RD, ARDMORE, PA 19003-3116
(610) 649-7769
Mailing address
121 SUTTON RD, ARDMORE, PA 19003-3116
(106) 649-7769
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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