Individual
ANTOINETTE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
3081 E WILEY LN, VAIL, AZ 85641-9716
(520) 507-0286
Mailing address
3081 E WILEY LN, VAIL, AZ 85641-9716
(520) 507-0286
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
361012
AZ
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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