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Organization

NURSING NURTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTINA S GRAY IBCLC (LACTATION CONSULTANT)
(864) 348-6456
Entity
Organization

Contact information

Practice address
608 PARKER BOWIE RD, IVA, SC 29655-9386
(864) 348-6456
Mailing address
608 PARKER BOWIE RD, IVA, SC 29655-9386
(864) 348-6456

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-46162
SC

Other

Enumeration date
05/21/2014
Last updated
05/21/2014
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