Organization
EAST TENNESSEE LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MARTINEZ IBCLC (OWNER)
(423) 435-3184
Entity
Organization
Contact information
Practice address
113 COUNTY ROAD 584, ENGLEWOOD, TN 37329-5101
(423) 435-3184
Mailing address
113 COUNTY ROAD 584, ENGLEWOOD, TN 37329-5101
(423) 435-3184
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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