Organization
MOTHERFED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE JOHNSON IBCLC, RLC (MEMBER)
(801) 580-4419
Entity
Organization
Contact information
Practice address
PARKVIEW PLAZA ONE 2180 SOUTH 1300 EAST, SUITE 600, SALT LAKE CITY, UT 84106-4462
(801) 580-4419
Mailing address
PO BOX 522425, SALT LAKE CITY, UT 84152-2425
(801) 580-4419
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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