Individual
JENNIFER LEAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
180 NUN DR, CRESTVIEW, FL 32536-4276
(765) 427-7132
Mailing address
180 NUN DR, CRESTVIEW, FL 32536-4276
(765) 427-7132
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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