Individual
MARY RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
2588 MILLSHED RD, MORGANTOWN, KY 42261-9070
(270) 999-3738
Mailing address
2588 MILLSHED RD, MORGANTOWN, KY 42261-9070
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-349718
KY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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