Individual
RENEE ANNETTE BOVENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1077 LORIMER ST # 3, BROOKLYN, NY 11222-2611
(917) 658-4029
Mailing address
1077 LORIMER ST # 3, BROOKLYN, NY 11222-2611
(917) 658-4029
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
303991
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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