Organization
LACTATION HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MASTERMAN MSN, IBCLC (OWNER)
(231) 788-4767
Entity
Organization
Contact information
Practice address
1218 S FOREST DR, MUSKEGON, MI 49442-4814
(231) 788-4767
Mailing address
1218 S FOREST DR, MUSKEGON, MI 49442-4814
(231) 788-4767
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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