Individual
MRS. MARYROSE KOPCHINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
8204 BUENA VISTA DR, DENVER, NC 28037-7306
(704) 840-2061
Mailing address
8204 BUENA VISTA DR, DENVER, NC 28037-7306
(704) 840-2061
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
207059
NC
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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