Individual
MRS. KELLI WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
335 HARRIS RD, MINDEN, LA 71055-6449
(318) 272-5194
Mailing address
335 HARRIS RD, MINDEN, LA 71055-6449
(318) 272-5194
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-68150
LA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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