Individual
MS. VONDA DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
10920 196TH ST, SAINT ALBANS, NY 11412-1706
(718) 877-9654
Mailing address
19814 100TH AVE, HOLLIS, NY 11423-3316
(718) 877-9654
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
426444
NY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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