Individual
MRS. CRYSTAL DAWN HUENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
775 GREEN WING RD, AMBOY, IL 61310-9427
(608) 514-2828
Mailing address
775 GREEN WING RD, AMBOY, IL 61310-9427
(608) 514-2828
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
041327739
IL
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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