Individual
AMY FETTERS JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
310 CURACAO WAY, NICEVILLE, FL 32578-4079
(910) 273-7014
Mailing address
310 CURACAO WAY, NICEVILLE, FL 32578-4079
(910) 273-7014
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-100984
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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