Individual
MRS. KAITLIN SHEA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC
Contact information
Practice address
59 WASHINGTON AVE, HIGHLANDS, NJ 07732-1535
(908) 601-8479
Mailing address
59 WASHINGTON AVE, HIGHLANDS, NJ 07732-1535
(908) 601-8479
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-94668
NJ
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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