Individual
CARLY THERESE CHANG-BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
11314 4TH AVE W STE 108, EVERETT, WA 98204-6926
(425) 322-4913
Mailing address
11314 4TH AVE W STE 108, EVERETT, WA 98204-6926
(206) 553-9236
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
61047123
WA
Other
Enumeration date
04/22/2019
Last updated
12/17/2024
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