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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